Legacy House

NPI 1285757187 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1285757187
Enumeration Date 04/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID I DAVID
Position OWNER
Phone (530) 365-9119
Fax
Practice Location
6893 HAPPY VALLEY RD
ANDERSON CA, 96007-9526, US
Phone (530) 365-9119
Fax
Business Location
190 WHITMORE LN
UKIAH CA, 95482-6932, US
Phone (707) 467-0911
Fax
Toxanomy
Taxonomy Code 320800000X
License State
License Number
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According to our database, Legacy House NPI is 1285757187, taxonomy code is 320800000X Legacy House physically located at 6893 Happy Valley Rd, Anderson CA, 96007-9526. NPI Number 1033115704 has the healthcare provider type.

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1285757187 NPI number is provided on an as is basis without warranty of any kind. 1285757187 is maintained by the National Plan & Provider Enumeration System. The contents of Legacy House are for informational purposes only.