Organization
LEGACY HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM BRENT SHULTZ (PRESIDENT/CEO)
(918) 348-2448
Entity
Organization
Contact information
Practice address
1631 N MAIN ST STE B, MUSKOGEE, OK 74401-4451
(918) 913-7028
Mailing address
1631 N MAIN ST STE B, MUSKOGEE, OK 74401-4451
(918) 913-7028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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