Organization
LEGACY HEALTHCARE CENTER LLC
Active
Other names
Legacy Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOVE E JACOBS (MANAGER)
(310) 398-8101
Entity
Organization
Contact information
Practice address
1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
(562) 925-2274
Mailing address
1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
(562) 925-2274
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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