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Organization
1570 FAIR OAKS LLC
Active
Organization
1570 FAIR OAKS LLC
Active
Other names
Legacy Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE ROSALES (MANAGING MEMBER)
(714) 600-6435
Entity
Organization
Contact information
Practice address
1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
(626) 798-0558
Mailing address
1301 DANA PL, FULLERTON, CA 92831-1108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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