# LEGACY VIDA HEALTHCARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Vida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942119276
- **Authorized official:** KIMBERLY COMEAU (REGISTERED AGENT)
- **Authorized official phone:** (305) 504-9173

## Contact information

- **Practice address:** 1747 NE 148TH ST, MIAMI, FL 33181-1046
- **Practice address phone:** (305) 504-9173
- **Mailing address:** 1747 NE 148TH ST, MIAMI, FL 33181-1046
- **Mailing address phone:** (305) 504-9173

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026