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Organization
FAMILY LEGACY HOME HEALTH CARE
Active
Organization
FAMILY LEGACY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA GAIL MARSHALL AM (OWNER MEMBER)
(314) 651-7172
Entity
Organization
Contact information
Practice address
12633 STONERIDGE DR, BLACK JACK, MO 63033-4618
(314) 651-7172
(314) 653-0258
Mailing address
12633 STONERIDGE DR, BLACK JACK, MO 63033-4618
(314) 651-7172
(314) 653-0258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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