Organization
LEGACY HEALTHCARE LLC
Active
Other names
Legacy Health
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON C OKWUOBU (CEO)
(623) 521-0505
Entity
Organization
Contact information
Practice address
620 W SPUR AVE, GILBERT, AZ 85233-6352
(623) 521-0505
Mailing address
620 W SPUR AVE, GILBERT, AZ 85233-6352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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