Organization
LEGACY CARE ADHC CORPORATION
Active
Parent organization
LEGACY CARE ADHC CORPORATION
Other names
Legacy Care ADHC/ CBAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY CARE ADHC CORPORATION
Authorized official
LIZZIE LE (CEO)
(858) 414-3615
Entity
Organization
Contact information
Practice address
11239 CAMINO RUIZ STE A, SAN DIEGO, CA 92126-4601
(858) 414-3615
Mailing address
11239 CAMINO RUIZ STE A, SAN DIEGO, CA 92126-4601
(858) 414-3615
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
01/23/2024
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