Organization
LEGACY HEALTHCARE STAFFING, LLC
Active
Other names
Care Avenue Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON MUTEBI REGISTERED NURSE (ADMINISTRATOR)
(918) 402-3072
Entity
Organization
Contact information
Practice address
1175 S ASPEN AVE STE E, BROKEN ARROW, OK 74012-4800
(918) 402-3072
Mailing address
10119 S 227TH EAST AVE, BROKEN ARROW, OK 74014-6279
(918) 402-3037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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