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Organization
LASTING LEGACY HOME CARE LLC
Active
Organization
LASTING LEGACY HOME CARE LLC
Active
Other names
LASTING LEGACY HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY BOLTON JR. (OWNER)
(706) 564-1472
Entity
Organization
Contact information
Practice address
463688 STATE ROAD 200 STE 1522, YULEE, FL 32097-0304
(904) 849-5192
Mailing address
81508 BOATSWAIN CT, FERNANDINA BEACH, FL 32034-7118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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