Organization
LEGACY HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS WATTS (OWNER)
(901) 297-0393
Entity
Organization
Contact information
Practice address
496 SPARROW LN, SAN JACINTO, CA 92582-6970
(901) 297-0393
Mailing address
496 SPARROW LN, SAN JACINTO, CA 92582-6970
(901) 297-0393
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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