# JR LEGACY HOUSING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356137806
- **Authorized official:** KHRISTINE MESIAS (OWNER)
- **Authorized official phone:** (626) 497-5377

## Contact information

- **Practice address:** 15833 SAGO RD, APPLE VALLEY, CA 92307-2813
- **Practice address phone:** (626) 497-5377
- **Mailing address:** 15833 SAGO RD, APPLE VALLEY, CA 92307-2813
- **Mailing address phone:** (626) 497-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 04/21/2025