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Organization
LEGACY HOME HEALTH AGENCY, INC.
Active
Organization
LEGACY HOME HEALTH AGENCY, INC.
Active
Parent organization
LEGACY HOME HEALTH AGENCY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY HOME HEALTH AGENCY, INC.
Authorized official
AMBROSE HERNANDEZ (ADMINISTRATOR/CEO)
(361) 855-0848
Entity
Organization
Contact information
Practice address
213 E FERGUSON ST, SUITE C, PHARR, TX 78577-1826
(956) 787-9947
(956) 787-1779
Mailing address
5277 OLD BROWNSVILLE RD, SUTIE 205, CORPUS CHRISTI, TX 78405-3929
(361) 855-0848
(631) 854-6795
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003937
—
TX
05
—
1003938
—
TX
05
—
1015098
—
TX
01
—
8616
CLIA
TX
Enumeration date
07/25/2007
Last updated
01/07/2008
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