Organization
LEGACY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUIRA YVONNE LASKLEY (EXECUTIVE DIRECTOR)
(142) 831-8583
Entity
Organization
Contact information
Practice address
1100 MONA DR, SAINT LOUIS, MO 63130-2130
(314) 283-1858
Mailing address
1100 MONA DR, SAINT LOUIS, MO 63130-2130
(314) 283-1858
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
01/17/2024
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