Organization
LEGENDARY LIFE SOLUTIONS, LLC
Active
Organization
LEGENDARY LIFE SOLUTIONS, LLC
Active
Other names
Trinity Life Solutions of Northwest Florida, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALESIA RHODES (CHIEF EXECUTIVE DIRECTOR)
(850) 319-7358
Entity
Organization
Contact information
Practice address
2809 W 15TH ST, SUITE 102, PANAMA CITY, FL 32401-1358
(850) 778-2233
Mailing address
921 N CENTER AVE, PANAMA CITY, FL 32401-4524
(850) 319-7358
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
12/20/2016
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