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1548947054
LIVING LEGEND CARE LLC
PHOENIX, AZ
NPI
1548947054
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Entity Type
Organization
Authorized Contact
NA'QUOYIA NELSON
Director/Manger
951-790-8533
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-06-28
Last Update Date
2023-07-05
Business Address
LIVING LEGEND CARE LLC
3841 N 24TH ST
PHOENIX, AZ 85016-6512
Phone number: 602-607-5427
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Mailing Address
LIVING LEGEND CARE LLC
16575 BONANZA DR
RIVERSIDE, CA 92504-5720
Phone number: 951-790-8533
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