Legacy House Upland
NPI #1063094381 in Upland, California
Provider Information
- NPI Number
- 1063094381
- Entity Type
- Organization
- Organization Name
- Legacy House Upland
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 26, 2021
- Last Updated
- Apr 26, 2021
Practice Location
- Address
- 1791 N 2ND AVE
- City
- Upland
- State
- California
- ZIP Code
- 91784-2012
- Phone
- (909) 583-4552
Authorized Official
- Name
- CHIH-TAO HOU
- Title
- OWNER/ADMINISTRATOR
- Phone
- (909) 583-4552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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