Organization
LEGACY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALLEN (MANAGER)
(916) 670-0400
Entity
Organization
Contact information
Practice address
16192 COASTAL HWY, LEWES, DE 19958-3608
(916) 670-0400
Mailing address
16192 COASTAL HWY, LEWES, DE 19958-3608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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