| NPI | 1255338810 |
|---|---|
| Doing Business As | LEISURE GLEN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | FERNAN PEDRAJA Financial Controller 181-824-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000040) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-04-21 |