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Organization
LEGACY GROUP HOMES SERVICES LLC
Active
Organization
LEGACY GROUP HOMES SERVICES LLC
Active
Other names
Legacy group homes services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FUNMILAYO ROSELINE AIMILA LPN (CEO)
(614) 592-3382
Entity
Organization
Contact information
Practice address
2485 JOYCE AVE, COLUMBUS, OH 43211-1880
(614) 592-3382
Mailing address
2485 JOYCE AVE, COLUMBUS, OH 43211-1880
(614) 592-3382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
137424
OH
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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