# LEGACY RHS, LLC

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

## Provider details

- **NPI number:** 1013569003
- **Authorized official:** ANGELITA MARTINEZ BA, QIDP (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (208) 369-6467

## Contact information

- **Practice address:** 16663 WOODDUCK ST, NAMPA, ID 83687-8296
- **Practice address phone:** (208) 369-6467
- **Mailing address:** 16663 WOODDUCK ST, NAMPA, ID 83687-8296
- **Mailing address phone:** (208) 369-6467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019