# 1570 FAIR OAKS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548889140
- **Authorized official:** ARLENE ROSALES (MANAGING MEMBER)
- **Authorized official phone:** (714) 600-6435

## Contact information

- **Practice address:** 1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
- **Practice address phone:** (626) 798-0558
- **Mailing address:** 1301 DANA PL, FULLERTON, CA 92831-1108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020