Organization
LEGENDARY HOMECARE AGENCY
Active
Other names
Legendary Homecare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST GALISON GIBSON (ADMINISTRATOR)
(215) 485-2276
Entity
Organization
Contact information
Practice address
2593 4TH ST W APT 308, DICKINSON, ND 58601-2447
(215) 485-2276
Mailing address
2593 4TH ST W APT 308, DICKINSON, ND 58601-2447
(215) 485-2276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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