Legacy Alliance Outreach
NPI #1912728874 in Modesto, California
Provider Information
- NPI Number
- 1912728874
- Entity Type
- Organization
- Organization Name
- Legacy Alliance Outreach
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 22, 2024
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 820 H ST
- City
- Modesto
- State
- California
- ZIP Code
- 95354-3419
- Phone
- (209) 480-6199
Authorized Official
- Name
- ALEXANDER BEQUETTE
- Title
- DIRECTOR
- Phone
- (209) 480-6199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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