Organization
LEGACY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN BOSS (PRESIDENT)
(209) 483-3466
Entity
Organization
Contact information
Practice address
1111 W ROBINHOOD DR, SUITE D, STOCKTON, CA 95207-5626
(209) 474-0111
(888) 448-8212
Mailing address
1111 W ROBINHOOD DR, SUITE D, STOCKTON, CA 95207-5626
(209) 474-0111
(888) 448-8212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001148
CA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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