Organization
LEGACY HEALTHCARE, INC.
Active
Parent organization
LEGACY HEALTHCARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY HEALTHCARE, INC
Authorized official
JIMMY MELTON (PRESIDENT AND CEO)
(505) 917-7998
Entity
Organization
Contact information
Practice address
3610 BOSQUE PLZ NW, ALBUQUERQUE, NM 87120-4295
(505) 338-3702
(505) 338-3709
Mailing address
3610 BOSQUE PLZ NW, ALBUQUERQUE, NM 87120-4295
(505) 338-3702
(505) 338-3709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3338
NM
Other
Enumeration date
04/11/2017
Last updated
02/04/2020
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