Organization
LEGACY HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD M. UNVERFERTH (VICE PRESIDENT - FIANANCE & CFO)
(419) 999-2010
Entity
Organization
Contact information
Practice address
2615 FORT AMANDA RD, LIMA, OH 45804-3704
(419) 999-2010
(419) 999-6284
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3529
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469300
—
OH
Enumeration date
06/30/2020
Last updated
07/10/2023
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