Organization
LEGACY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HINES (DIRECTOR)
(804) 337-9048
Entity
Organization
Contact information
Practice address
800 WILCREST DR STE 107, HOUSTON, TX 77042-1369
(757) 769-5329
Mailing address
800 WILCREST DR STE 107, HOUSTON, TX 77042-1369
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/24/2022
Last updated
01/10/2025
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