Organization
LEGACY HEALTHCARE INC.
Active
Parent organization
LEGACY HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY HEALTHCARE
Authorized official
MR. RUDOLFO MENDEZ (PHYSICAL THERAPY ASSISTANT)
(970) 590-3948
Entity
Organization
Contact information
Practice address
1608 29TH AVE, GREELEY, CO 80634-5720
(970) 590-3948
Mailing address
1608 29TH AVE, GREELEY, CO 80634-5720
(970) 590-3948
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2251500000
CO
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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