Leisure Care Home Care Agency, INC
NPI #1174861108 in Laguna Niguel, California
Provider Information
- NPI Number
- 1174861108
- Entity Type
- Organization
- Organization Name
- Leisure Care Home Care Agency, INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 30131 TOWN CENTER DR
- Address 2
- SUITE 205
- City
- Laguna Niguel
- State
- California
- ZIP Code
- 92677-2034
- Phone
- (949) 363-7401
Authorized Official
- Name
- MR. TREVOR L BLACKANN
- Title
- PRESIDENT
- Phone
- (949) 363-7401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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