| NPI | 1376547315 |
|---|---|
| Doing Business As | LEISURE GLEN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | YOLANDA WISE Administrator 818-247-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 970000040) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |