Organization
LMS LEGACY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHANA D MERRILL LPN (LPN)
(765) 215-3448
Entity
Organization
Contact information
Practice address
1001 N LELAND AVE, MUNCIE, IN 47303-3338
(765) 215-3448
Mailing address
3160 CHERRY LAKE LN STE A, INDIANAPOLIS, IN 46235-8613
(765) 215-3448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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