Organization
LEGACY HOUSE UPLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIH-TAO HOU (OWNER/ADMINISTRATOR)
(909) 583-4552
Entity
Organization
Contact information
Practice address
1791 N 2ND AVE, UPLAND, CA 91784-2012
(909) 583-4552
Mailing address
1791 N 2ND AVE, UPLAND, CA 91784-2012
(909) 583-4552
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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