Leisure Village
NPI #1003360124 in Tarzana, California
Provider Information
- NPI Number
- 1003360124
- Entity Type
- Organization
- Organization Name
- Leisure Village
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 5, 2016
- Last Updated
- Aug 5, 2016
Practice Location
- Address
- 19562 VENTURA BLVD STE 229
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-7126
- Phone
- (818) 585-2200
Authorized Official
- Name
- KOKE AHANKOOB
- Title
- PRESIDENT
- Phone
- (818) 402-7867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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