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Organization

LEGACY LIVING HC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVOUYA TERRY (OWNER)
(708) 846-0283
Entity
Organization

Contact information

Practice address
4444 BROADWAY STE A5, GARY, IN 46408-3364
(708) 575-9274
Mailing address
4444 BROADWAY STE A5, GARY, IN 46408-3364
(708) 575-9274

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/06/2026
Last updated
05/11/2026
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