GREEN LIFE LEGACY, LLC is an intermediate care facility mentally retarded in Claremont, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GREEN LIFE LEGACY, LLC NPI is 1639597677. The provider is registered as an organization entity type.
The provider's business location address is:
633 E BASELINE RD
CLAREMONT, CA
ZIP 91711-270
Phone: (951) 570-0749
The provider's authorized official is Evelyn M Mugar .
The authorized official title is Administrator and has the following contact phone number (951) 570-0749.
The enumeration date for this NPI number is 4/6/2014 and was last updated on 4/6/2014.