# LEGACY HEALTHCARE PROVIDERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003970104
- **Authorized official:** MS. MARIEGENE CACHO RN, BSN (ADMINISTRATOR, OWNER)
- **Authorized official phone:** (626) 858-5611

## Contact information

- **Practice address:** 1272 CENTER COURT DR, STE. 203, COVINA, CA 91724-3667
- **Practice address phone:** (626) 858-5611
- **Practice address fax:** (626) 858-5614
- **Mailing address:** 1272 CENTER COURT DR, STE. 203, COVINA, CA 91724-3667
- **Mailing address phone:** (626) 858-5611
- **Mailing address fax:** (626) 858-5614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 980001464 | CA | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/17/2010