Organization
LEGACY OF LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEQUAN SMITH (MEMBER)
(225) 223-5028
Entity
Organization
Contact information
Practice address
1058 E WORTHY ST STE B, GONZALES, LA 70737-4359
(225) 258-7322
(225) 450-3799
Mailing address
1058 E WORTHY ST STE B, GONZALES, LA 70737-4359
(225) 258-7322
(225) 450-3799
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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