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Organization

LEGACY HEALTHCARE PROVIDERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARIEGENE CACHO RN, BSN (ADMINISTRATOR, OWNER)
(626) 858-5611
Entity
Organization

Contact information

Practice address
1272 CENTER COURT DR, STE. 203, COVINA, CA 91724-3667
(626) 858-5611
(626) 858-5614
Mailing address
1272 CENTER COURT DR, STE. 203, COVINA, CA 91724-3667
(626) 858-5611
(626) 858-5614

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001464
CA

Other

Enumeration date
12/21/2006
Last updated
12/17/2010
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