Organization
LEGACY VILLA SENIOR CARE INC.
Active
Other names
Legacy Villa Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA CRUZ BAUTISTA (ADMINISTRATOR/LICENSEE)
(310) 418-7938
Entity
Organization
Contact information
Practice address
21012 DOBLE AVENUE, TORRANCE, CA 90502
(424) 558-8971
(424) 263-4026
Mailing address
25303 MONTEREY CIR, LOMITA, CA 90717
(310) 418-7938
(424) 263-4026
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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