Organization
LEGACY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNY NJANTOU (CEO)
(240) 441-7639
Entity
Organization
Contact information
Practice address
3909 BLACKBURN LN APT 33, BURTONSVILLE, MD 20866-1239
(240) 441-7639
Mailing address
3909 BLACKBURN LN APT 33, BURTONSVILLE, MD 20866-1239
(240) 441-7639
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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