Organization
LEGACY SMALL FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE LEONARD RN (REGISTERED NURSE)
(562) 253-9674
Entity
Organization
Contact information
Practice address
3950 REYNOLDS RD, RIVERSIDE, CA 92503-3517
(951) 358-4466
Mailing address
2320 RIVENDELL RD, PERRIS, CA 92570-2708
(562) 253-9674
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
05/03/2025
Last updated
01/08/2026
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