# LEGACY HOMECARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Care Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134998453
- **Authorized official:** JILL GILES (OFFICE MANAGER)
- **Authorized official phone:** (850) 641-5386

## Contact information

- **Practice address:** 1415 PIEDMONT DR E STE 4, TALLAHASSEE, FL 32308-7944
- **Practice address phone:** (850) 641-5383
- **Mailing address:** 1415 PIEDMONT DR E STE 4, TALLAHASSEE, FL 32308-7944
- **Mailing address phone:** (850) 641-5383

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 01/12/2024