Organization
THE LEGACY AT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HAECKER (EXECUTIVE DIRECTOR)
(972) 244-7700
Entity
Organization
Contact information
Practice address
6101 OHIO DR STE 100, PLANO, TX 75024-2722
(972) 244-7700
(972) 244-7701
Mailing address
6101 OHIO DR STE 100, PLANO, TX 75024-2722
(972) 244-7700
(972) 244-7701
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018775
AGENCY PARENT LICENSE
TX
Enumeration date
03/16/2018
Last updated
08/15/2023
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