Organization
LEGACY HOMECARE PLUS UNLIMITED, INC.
Active
Other names
ALTA VISTA HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOJETTE SUGUITAN RN (ASSISTANT ADMINISTRATOR)
(626) 918-2868
Entity
Organization
Contact information
Practice address
1840 N HACIENDA BLVD, #11, LA PUENTE, CA 91744-1143
(626) 918-2868
(626) 918-6878
Mailing address
1840 N HACIENDA BLVD, #11, LA PUENTE, CA 91744-1143
(626) 918-2868
(626) 918-6878
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
058142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08142F
—
CA
Enumeration date
07/26/2005
Last updated
07/19/2007
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