# LEGEND TALES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiara Good
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649010562
- **Authorized official:** TIARA GOOD (OWNER)
- **Authorized official phone:** (248) 795-3719

## Contact information

- **Practice address:** 27600 GATEWAY DR E, FARMINGTON HILLS, MI 48334-4921
- **Practice address phone:** (248) 795-3719
- **Mailing address:** 9316 MEYERS RD \# SR, DETROIT, MI 48228-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024