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Organization

A LEGACY HOME CARE LLC

Active
Other names
Connection Community Services
Organization subpart
No

Provider details

NPI number
Authorized official
CHANDLER TENILLE ANGEL (OWNER)
(131) 637-1691
Entity
Organization

Contact information

Practice address
5410 VICKSBURG DR, ARLINGTON, TX 76017-4946
(817) 516-5349
(817) 765-2136
Mailing address
5410 VICKSBURG DR, ARLINGTON, TX 76017-4946
(817) 516-5349
(817) 765-2136

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
12/10/2021
Last updated
01/27/2023
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