Organization
LEGACY PROFESSIONAL NURSING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SHANTAE POWELL RN (OWNER)
(434) 632-9165
Entity
Organization
Contact information
Practice address
27043 WILLIAM CT, COURTLAND, VA 23837-2189
(434) 632-9165
Mailing address
27043 WILLIAM CT, COURTLAND, VA 23837-2189
(434) 632-9165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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