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Organization
LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC
Active
Organization
LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG CRAWFORD (AUTHORIZED OFFICIAL)
(859) 441-8876
Entity
Organization
Contact information
Practice address
800 BROADWAY ST, PADUCAH, KY 42001-6808
(270) 442-7887
(270) 442-7897
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
(270) 442-7897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG0539
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG 0539
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0539
KY
Other
Enumeration date
07/05/2006
Last updated
10/04/2021
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