Organization
LEGENDARY IN-HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENESIA GERMAN (PRESIDENT)
(678) 618-7932
Entity
Organization
Contact information
Practice address
269 CHARLES LN, PONTIAC, MI 48341-2930
(313) 757-1843
Mailing address
269 CHARLES LN, PONTIAC, MI 48341-2930
(313) 757-1843
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
MI
Other
Enumeration date
08/02/2018
Last updated
11/18/2024
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