Organization
LEGACY SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALEXANDER BRYSON (OWNER)
(270) 689-2343
Entity
Organization
Contact information
Practice address
4537 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-9624
(270) 874-4868
Mailing address
3117 ALVEY PARK DR W STE B, OWENSBORO, KY 42303-2139
(270) 689-2343
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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