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Organization
Y&R LEGACIES LLC
Active
Organization
Y&R LEGACIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YANCY WAYDELL FORT JR. (COORDINATOR)
(213) 222-6745
Entity
Organization
Contact information
Practice address
37861 LOPEZ LN, PALMDALE, CA 93552-4140
(213) 222-6745
Mailing address
1001 FREMONT AVE UNIT 3533, SOUTH PASADENA, CA 91030-3224
(213) 222-6745
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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