Organization
LEGACY PLACE SENIOR LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAKRESHIA REED (PRESIDENT)
(248) 710-2255
Entity
Organization
Contact information
Practice address
42816 KEYSTONE LN, CANTON, MI 48187-3416
(248) 710-2255
Mailing address
42816 KEYSTONE LN, CANTON, MI 48187-3416
(248) 710-2255
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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