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Organization

LEGACY HOUSING SOLUTIONS CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IYANGA FALL (EXECUTIVE DIRECTOR)
(501) 707-8003
Entity
Organization

Contact information

Practice address
2305 RED BARON DR, JACKSONVILLE, AR 72076-5623
(501) 712-7800
Mailing address
10515 W MARKHAM ST STE I4, LITTLE ROCK, AR 72205-2283

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251C00000X
Developmentally Disabled Services Day Training Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
342000000X
Transportation Network Company
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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