Organization
LEGACY HEALTHCARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS LAMONT MOORE LNHA (SECRETARY)
(501) 392-2924
Entity
Organization
Contact information
Practice address
4800 W 13TH ST, STE #D, LITTLE ROCK, AR 72204-1900
(501) 353-2035
Mailing address
4800 W 13TH ST, STE #D, LITTLE ROCK, AR 72204-1900
(501) 353-2035
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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