| Living Legend Care Llc | |
|
3841 N 24th St Phoenix AZ 85016-6512 | |
| (602) 607-5427 | |
| Not Available |
| Full Name | Living Legend Care Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3841 N 24th St, Phoenix, Arizona |
| Authorized Official Name and Position | Na'quoyia Nelson (DIRECTOR/MANGER) |
| Authorized Official Contact | 9517908533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Legend Care Llc 16575 Bonanza Dr Riverside CA 92504-5720 Ph: (951) 790-8533 | Living Legend Care Llc 3841 N 24th St Phoenix AZ 85016-6512 Ph: (602) 607-5427 |
| NPI Number | 1548947054 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548947054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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