Organization
LEGENDARY HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST GIBSON (EXECUTIVE DIRECTOR)
(215) 485-2276
Entity
Organization
Contact information
Practice address
2593 4TH ST W APT 308, DICKINSON, ND 58601-2447
(215) 485-2276
Mailing address
2593 4TH ST W APT 308, DICKINSON, ND 58601-2447
(215) 485-2276
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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