Organization
LEGACY CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEYINKA ADEGOKE (ADMINISTRATOR)
(832) 840-0708
Entity
Organization
Contact information
Practice address
27919 GENESIS MANOR LN, KATY, TX 77494-6252
(832) 840-0708
(832) 263-8567
Mailing address
27919 GENESIS MANOR LN, KATY, TX 77494-6252
(832) 840-0708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
11/14/2024
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