# LEGACY PLUS HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY PLUS HOME CARE AGENCY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619560042
- **Legal business name:** LEGACY PLUS HOME CARE AGENCY LLC
- **Authorized official:** TIFFANY WELLS (OWNER/PRESIDENT)
- **Authorized official phone:** (313) 817-7568

## Contact information

- **Practice address:** 27010 CARLYSLE ST, INKSTER, MI 48141-2554
- **Practice address phone:** (313) 817-7568
- **Practice address fax:** (313) 633-0152
- **Mailing address:** 27010 CARLYSLE ST, INKSTER, MI 48141-2554
- **Mailing address phone:** (313) 817-7568
- **Mailing address fax:** (313) 633-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2021
- **Last updated:** 02/17/2021