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Organization

LEGENDARY MEDICAL STAFFING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER WHITE RN (CEO)
(865) 226-9679
Entity
Organization

Contact information

Practice address
9080 BARBEE LN STE 104B, KNOXVILLE, TN 37923-6256
(865) 226-9679
(865) 273-0266
Mailing address
9080 BARBEE LN STE 104B, KNOXVILLE, TN 37923-6256
(865) 226-9679
(865) 273-0266

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q078910
TN
Enumeration date
01/02/2023
Last updated
01/02/2023
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