Organization
LEGACY LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUAN LEE (OWNER)
(609) 418-5308
Entity
Organization
Contact information
Practice address
301 SPRUCE ST, MOUNT VERNON, OH 43050-4214
(740) 358-7057
Mailing address
301 SPRUCE ST, MOUNT VERNON, OH 43050-4214
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/31/2026
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