Organization
FAMILY LEGACY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA GAIL MARSHALL AM (OWNER MEMBER)
(314) 651-7172
Entity
Organization
Contact information
Practice address
12633 STONERIDGE DR, BLACK JACK, MO 63033-4618
(314) 651-7172
(314) 653-0258
Mailing address
12633 STONERIDGE DR, BLACK JACK, MO 63033-4618
(314) 651-7172
(314) 653-0258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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