Organization
LEGACY HOME HEALTH, INC.
Active
Other names
Plexus Healthcare Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MACEDONIA MENDOZA RN (ADMINISTRATOR/DPCS)
(562) 858-1861
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST, 116A, RANCHO CUCAMONGA, CA 91730-1158
(909) 608-7566
(909) 296-7321
Mailing address
7365 CARNELIAN ST, 116A, RANCHO CUCAMONGA, CA 91730-1158
(909) 608-7566
(909) 608-7567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922279694
—
CA
Enumeration date
05/01/2017
Last updated
11/28/2022
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