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Organization

PURE LEGACY IN-HOME CARE ASSISTANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTRENA REYNOLDS (OWNER)
(615) 499-8989
Entity
Organization

Contact information

Practice address
1717 CHEROKEE DR, LEBANON, TN 37087-3011
(615) 499-8989
Mailing address
1717 CHEROKEE DR, LEBANON, TN 37087-3011

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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