Organization
LEGACY OF FAITH HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELICA WEBB (OWNER)
(850) 557-7128
Entity
Organization
Contact information
Practice address
4903 BLUE SKY WAY, MARIANNA, FL 32446-1864
(850) 557-7128
Mailing address
4903 BLUE SKY WAY, MARIANNA, FL 32446-1864
(850) 557-7128
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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