National Provider Identifier Database

LEGACY HEALING CENTER LOS ANGELES LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

LEGACY HEALING CENTER LOS ANGELES LLC
1924 WATTLES DR
LOS ANGELES, CA90046-2264
Phone: 561-308-0865
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LEGACY HEALING CENTER LOS ANGELES LLC

NPI Number 1427877216
Legal business name
LBN
LEGACY HEALING CENTER LOS ANGELES LLC
Authorized official ERIN KENNEDY - (CRO)
Entity Organization
Organization subpart No
Enumeration date 10/08/2024
Last updated 01/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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