Organization
LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
Active
Parent organization
LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
Other names
Legacy Home Health Care - Grahame County
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY HOME HEALTH CARE OF SOUTHERN ARIZONA, LLC
Authorized official
MR. JOSEPH MAILLARD MBA (OWNER)
(928) 632-2373
Entity
Organization
Contact information
Practice address
1491 W THATCHER BLVD, SUITE 104, SAFFORD, AZ 85546-3362
(520) 335-6118
(888) 504-1425
Mailing address
4996 E MEDITERRANEAN DR, STE D, SIERRA VISTA, AZ 85635-2435
(520) 335-6118
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA7638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA7638
STATE HOME HEALTH CARE LICENSE
AZ
Enumeration date
07/22/2015
Last updated
01/24/2017
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