Leontina Balos
Assisted Living Facility in Garden Grove, CA. Individual provider (NPI-1).
NPI number1407375520
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1407375520
- Entity type
- Individual (NPI-1)
- Name
- Leontina Balos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 306004237 | CA | Yes |
Practice location
10452 Mildred AvenueGarden Grove, CA 92843
Phone 714-583-8031
Mailing address
10452 Mildred AveGarden Grove, CA 92843-1165
Phone 714-583-8031
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All 32 Assisted Living Facility providers in Garden Grove · All 5,773 providers in Garden Grove
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