Organization
LEGACY GRACE SUPPORT SERVICES LLC NO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKILA K RUSH (OWNER / MANAGING MEMBER)
(734) 373-3835
Entity
Organization
Contact information
Practice address
26632 YALE ST, INKSTER, MI 48141-2546
(734) 373-3835
Mailing address
26632 YALE ST, INKSTER, MI 48141-2546
(734) 373-3835
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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