Provider Demographics
NPI:1114320694
Name:ISLM LEASING, LLC
Entity Type:Organization
Organization Name:ISLM LEASING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF ACCOUNTING & FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-547-2863
Mailing Address - Street 1:550 LAGUNA DR STE A
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1698
Mailing Address - Country:US
Mailing Address - Phone:760-547-2863
Mailing Address - Fax:
Practice Address - Street 1:550 LAGUNA DR STE A
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1698
Practice Address - Country:US
Practice Address - Phone:760-547-2863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)