Organization
LEGACY RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAK TAYLOR II (DIRECTOR OF OPERATIONS)
(330) 942-3231
Entity
Organization
Contact information
Practice address
3034 MARTINDALE RD NE, CANTON, OH 44714-1444
(330) 942-3231
Mailing address
3034 MARTINDALE RD NE, CANTON, OH 44714-1444
(330) 942-3231
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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