Organization
LEGENDARY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA NICHOLS (PRESIDENT)
(856) 979-3035
Entity
Organization
Contact information
Practice address
8045 TEMPLE RD, PHILADELPHIA, PA 19150-1224
(856) 979-3035
Mailing address
8045 TEMPLE RD, PHILADELPHIA, PA 19150-1224
(856) 979-3035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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