Organization
LEGACY HOME ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO BRIZUELA GARRIDO (MANAGING MEMBER)
(702) 234-6397
Entity
Organization
Contact information
Practice address
51 N PECOS RD STE 112A, LAS VEGAS, NV 89101-4819
(702) 234-6397
Mailing address
51 N PECOS RD STE 112A, LAS VEGAS, NV 89101-4819
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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