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Organization

LEGACY HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB CHAN (OWNER/PRESIDENT)
(808) 387-9795
Entity
Organization

Contact information

Practice address
1317 10TH AVE, HONOLULU, HI 96816-2709
(808) 387-9795
Mailing address
1317 10TH AVE, HONOLULU, HI 96816-2709
(808) 387-9795

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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