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Green Life Legacy, Llc
Intellectual Disabilities Intermediate Care Facility in Claremont, California
NPI 1639597677

Green Life Legacy, Llc is a Intellectual Disabilities Intermediate Care Facility based in Claremont, CA. Green Life Legacy, Llc practices in Claremont, CA. The NPI Number for Green Life Legacy, Llc is 1639597677 and holds a License No. (California).

The current practice location address for Green Life Legacy, Llc is 633 E Baseline Rd, Claremont, CA and can be reached out via phone at 951-570-0749.

Location: 633 E Baseline Rd, Claremont, CA, 91711-2270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639597677
Provider Name
Green Life Legacy, Llc
Credential
Provider Entity Type
Organization
Address
633 E Baseline Rd, Claremont, CA, 91711-2270
Phone Number
951-570-0749
Fax Number
Provider Enumeration Date
04/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
633 E Baseline Rd
City
Claremont
State
California
Zip
91711-2270
Phone Number
951-570-0749
Fax Number
person
Provider Business Mailing Address Details
Address
633 E Baseline Rd
City
Claremont
State
California
Zip
91711-2270
Phone Number
951-570-0749
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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