Organization
OUR LEGACY LLC
Active
Organization
OUR LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE RODRIGUEZ (LICENSEE)
(951) 575-7775
Entity
Organization
Contact information
Practice address
13000 WILD SAGE LN, MORENO VALLEY, CA 92555-4529
(951) 575-7775
Mailing address
13000 WILD SAGE LN, MORENO VALLEY, CA 92555-4529
(951) 575-7775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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