Organization
LEGACY HEALTH SERVICES LLC
Active
Organization
LEGACY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAWALE SUNDAY FAKUADE (DIRECTOR/OWNER)
(317) 702-2547
Entity
Organization
Contact information
Practice address
16003 E 107TH AVE, COMMERCE CITY, CO 80022-8723
(317) 702-2547
Mailing address
16003 E 107TH AVE, COMMERCE CITY, CO 80022-8723
(317) 702-2547
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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