# LEGACY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1174274245
- **Authorized official:** CIERRA S BILLINGSLEA RN (CEO)
- **Authorized official phone:** (904) 554-4684

## Contact information

- **Practice address:** 2631 TREEHOUSE LN, LAWRENCEVILLE, GA 30044-2580
- **Practice address phone:** (904) 554-4684
- **Mailing address:** 2631 TREEHOUSE LN, LAWRENCEVILLE, GA 30044-2580
- **Mailing address phone:** (904) 554-4684

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 01/11/2022