Organization
LEGION MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LACANILAO (ASSISTED LIVING MANAGER)
(602) 551-4224
Entity
Organization
Contact information
Practice address
6842 E POSADA CIR, MESA, AZ 85212-2944
(480) 629-5015
Mailing address
6842 E POSADA CIR, MESA, AZ 85212-2944
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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