Organization
LEGACY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAJON BRAXTON (PRESIDENT)
(267) 693-0374
Entity
Organization
Contact information
Practice address
220 S 47TH ST APT 403, PHILADELPHIA, PA 19139-4431
(267) 693-0374
Mailing address
220 S 47TH ST APT 403, PHILADELPHIA, PA 19139-4431
(267) 693-0374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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