# LEGACY ALLIANCE OUTREACH

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

## Provider details

- **NPI number:** 1750102612
- **Authorized official:** ALEXANDER BEQUETTE (DIRECTOR)
- **Authorized official phone:** (209) 480-6199

## Contact information

- **Practice address:** 820 H ST, MODESTO, CA 95354-3419
- **Practice address phone:** (209) 480-6199
- **Mailing address:** 2601 OAKDALE RD STE 154, MODESTO, CA 95355-2256
- **Mailing address phone:** (209) 480-6199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 10/22/2024