Organization
LEGACY HOME CARE & SUPPORT SERVICES LLC
Active
Organization
LEGACY HOME CARE & SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BEARD M.H.A (OWNER)
(662) 251-1767
Entity
Organization
Contact information
Practice address
378 PHILLIPS HILL RD, COLUMBUS, MS 39702-8296
(662) 251-1767
Mailing address
378 PHILLIPS HILL RD, COLUMBUS, MS 39702-8296
(662) 251-1767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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