Organization
LEGACY HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA DYCHINGCO (OWNER CEO)
(562) 568-0162
Entity
Organization
Contact information
Practice address
11036 WASHINGTON BLVD STE A, WHITTIER, CA 90606-3006
(562) 568-0162
(562) 568-0161
Mailing address
11036 WASHINGTON BLVD STE A, WHITTIER, CA 90606-3006
(562) 568-0162
(562) 568-0161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08137F
—
CA
Enumeration date
12/29/2005
Last updated
01/07/2008
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