Organization
DAVIS LEGACY ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DAVIS (OWNER)
(404) 281-8826
Entity
Organization
Contact information
Practice address
4895 CHIMNEY HILL CT, AUSTELL, GA 30106-1765
(678) 398-9619
Mailing address
1400 VETERANS MEMORIAL HWY SE, SUITE 134 # 444, MABLETON, GA 30126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
04/08/2018
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