Organization
LEGACY HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY MARIE GROSSA (CFO)
(702) 338-8373
Entity
Organization
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 366-3340
Mailing address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 366-3340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E0435602012-5
NV
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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