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Organization
LEGACY HOME CARE, INC.
Active
Organization
LEGACY HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUKHTAR AHMAD RPT (CEO)
(248) 559-9001
Entity
Organization
Contact information
Practice address
17070 W 12 MILE RD, STE D, SOUTHFIELD, MI 48076-2116
(248) 559-9001
(248) 559-9005
Mailing address
17070 W 12 MILE RD, STE D, SOUTHFIELD, MI 48076-2116
(248) 559-9001
(248) 559-9005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/15/2006
Last updated
08/22/2020
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