Longevity Board and Care LLC
NPI #1053999003 in Chatsworth, California
Provider Information
- NPI Number
- 1053999003
- Entity Type
- Organization
- Organization Name
- Longevity Board and Care LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 31, 2021
- Last Updated
- Feb 3, 2023
Practice Location
- Address
- 10348 LARAMIE AVE
- City
- Chatsworth
- State
- California
- ZIP Code
- 91311-2530
- Phone
- (510) 384-3431
Authorized Official
- Name
- NICHOLAS WELLS
- Title
- OWNER/ADMINISTRATOR
- Phone
- (510) 384-3431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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