# LEGACY HOME ASSISTANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780400812
- **Authorized official:** ORLANDO BRIZUELA GARRIDO (MANAGING MEMBER)
- **Authorized official phone:** (702) 234-6397

## Contact information

- **Practice address:** 51 N PECOS RD STE 112A, LAS VEGAS, NV 89101-4819
- **Practice address phone:** (702) 234-6397
- **Mailing address:** 51 N PECOS RD STE 112A, LAS VEGAS, NV 89101-4819

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 11/22/2024