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Organization
LIVING LEGENDZ LLC
Active
Organization
LIVING LEGENDZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA T WALLACE (CEO)
(740) 325-3544
Entity
Organization
Contact information
Practice address
577 STABLE ST, PATASKALA, OH 43062-7066
(740) 325-3544
Mailing address
577 STABLE ST, PATASKALA, OH 43062-7066
(740) 325-3544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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