# LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
- **Other names:** Legacy Home Health Care - Grahame County
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447635289
- **Legal business name:** LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
- **Authorized official:** MR. JOSEPH MAILLARD MBA (OWNER)
- **Authorized official phone:** (928) 632-2373

## Contact information

- **Practice address:** 1491 W THATCHER BLVD, SUITE 104, SAFFORD, AZ 85546-3362
- **Practice address phone:** (520) 335-6118
- **Practice address fax:** (888) 504-1425
- **Mailing address:** 4996 E MEDITERRANEAN DR, STE D, SIERRA VISTA, AZ 85635-2435
- **Mailing address phone:** (520) 335-6118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA7638 | AZ | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 01/24/2017