Organization
LEGACY OXYGEN AND HOME CARE EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG CRAWFORD (AUTHORIZED OFFICIAL)
(859) 441-8876
Entity
Organization
Contact information
Practice address
800 BROADWAY ST, PADUCAH, KY 42001-6808
(270) 442-7887
(270) 442-7897
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
(270) 442-7897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG0539
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG 0539
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100170380
—
KY
Enumeration date
07/05/2006
Last updated
10/04/2021
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