Organization
1570 FAIR OAKS LLC
Active
Other names
Legacy Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE ROSALES (MANAGING MEMBER)
(714) 600-6435
Entity
Organization
Contact information
Practice address
1570 N FAIR OAKS AVE, PASADENA, CA 91103-1822
(626) 798-0558
Mailing address
1301 DANA PL, FULLERTON, CA 92831-1108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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