Legacy Senior Living
NPI #1063881357 in La Mesa, California
Provider Information
- NPI Number
- 1063881357
- Entity Type
- Organization
- Organization Name
- Legacy Senior Living
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 17, 2015
- Last Updated
- Sep 17, 2015
Practice Location
- Address
- 9645 ALTO DR
- City
- La Mesa
- State
- California
- ZIP Code
- 91941-4445
- Phone
- (619) 729-6462
Authorized Official
- Name
- MELINDA VAUGHN
- Title
- CEO
- Phone
- (619) 729-6462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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