Organization
LEGACY CARE TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEOKUK RANDALL (ADMINISTRATOR)
(682) 433-9476
Entity
Organization
Contact information
Practice address
4109 CITY POINT DR STE G, N RICHLAND HILLS, TX 76180-8339
(682) 381-0595
Mailing address
4109 CITY POINT DR STE G, N RICHLAND HILLS, TX 76180-8339
(682) 381-0595
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/19/2023
Last updated
03/19/2026
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