# LEGACY CARE LLC

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

## Provider details

- **NPI number:** 1316454952
- **Authorized official:** LATOYA THOMPSON (DIRECTOR)
- **Authorized official phone:** (314) 542-3121

## Contact information

- **Practice address:** 111 W PORT PLZ FL 6, SAINT LOUIS, MO 63146-3011
- **Practice address phone:** (314) 542-3121
- **Practice address fax:** (314) 480-8301
- **Mailing address:** 111 W PORT PLZ FL 6, SAINT LOUIS, MO 63146-3011
- **Mailing address phone:** (314) 542-3121
- **Mailing address fax:** (314) 480-8301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MO | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 02/02/2022