Organization
LEGACY HOME CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMTEJ DHILLON (CEO)
(510) 676-6611
Entity
Organization
Contact information
Practice address
5380 PIRRONE RD STE 301B, SALIDA, CA 95368-9090
(209) 800-7333
(209) 800-2505
Mailing address
5380 PIRRONE RD STE 301B, SALIDA, CA 95368-9090
(209) 800-7333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504700026
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES STATE LICENSE
CA
Enumeration date
02/08/2023
Last updated
02/08/2023
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