| NPI | 1639047491 |
|---|---|
| Doing Business As | LEGACY VILLA SENIOR CARE |
| Entity Type | Organization |
| Authorized Contact | TERESITA CRUZ BAUTISTA Administrator/Licensee 310-418-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |