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Organization
LEGACY DME INC
Active
Organization
LEGACY DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KURTZ (CEO)
(714) 222-4600
Entity
Organization
Contact information
Practice address
1111 BAYSIDE DR, CORONA DEL MAR, CA 92625-1714
(714) 222-4600
Mailing address
2015 AMBIE WAY, FAIRVIEW, TN 37062-5006
(714) 222-4600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/21/2019
Last updated
05/16/2022
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