Organization
LEGACY LIFE WELLNESS CENTER LLC
Active
Organization
LEGACY LIFE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANNA LOUDE (CEO)
(614) 206-3204
Entity
Organization
Contact information
Practice address
2183 LISA DR, COLUMBUS, OH 43219-2035
(614) 206-3204
Mailing address
2183 LISA DR, COLUMBUS, OH 43219-2035
(614) 206-3204
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/02/2026
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