Organization
TKLEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L LADE (DOO)
(937) 475-4163
Entity
Organization
Contact information
Practice address
965 GROVE HILL DR, BEAVERCREEK, OH 45434-5943
(937) 475-4163
Mailing address
965 GROVE HILL DR, BEAVERCREEK, OH 45434-5943
(937) 475-4163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/13/2025
Last updated
12/26/2025
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