| NPI | 1083028856 |
|---|---|
| Doing Business As | LEISURE VILLAGE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDAH BIENSTOCK Managing Member 314-631-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH7216) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2015-12-02 |