Provider Demographics
NPI:1194580498
Name:NURTURING LEGACIES LLC
Entity type:Organization
Organization Name:NURTURING LEGACIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:VADURRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-997-1778
Mailing Address - Street 1:PO BOX 1529
Mailing Address - Street 2:
Mailing Address - City:RUNNING SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92382-1529
Mailing Address - Country:US
Mailing Address - Phone:909-997-1778
Mailing Address - Fax:
Practice Address - Street 1:124 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5172
Practice Address - Country:US
Practice Address - Phone:909-997-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty