Organization
LEGACY CARE SOURCE
Active
Other names
Legacy Care Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERANDA K. MELTON DNP (CEO/EXECUTIVE DIRECTOR)
(205) 792-3690
Entity
Organization
Contact information
Practice address
11073 LEXINGTON DR, DUNCANVILLE, AL 35456-2213
(205) 792-3690
Mailing address
11073 LEXINGTON DR, DUNCANVILLE, AL 35456-2213
(205) 792-3690
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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