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Organization
LEGACY HOME AGENCY INC
Active
Organization
LEGACY HOME AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BURSE (OWNER)
(463) 400-2294
Entity
Organization
Contact information
Practice address
1028 N SHADELAND AVE, INDIANAPOLIS, IN 46219-3629
(463) 400-2294
Mailing address
PO BOX 36272, INDIANAPOLIS, IN 46236-0272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/11/2025
Last updated
06/16/2025
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