Organization
LEGACY HOME HEALTHCARE OF SOUTHERN ARIZONA
Active
Other names
Legacy Health Care Home Supportive Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLA JANE LADD RN, BSN (PRESIDENT)
(520) 335-6118
Entity
Organization
Contact information
Practice address
1700 S HWY 92 STE A, SIERRA VISTA, AZ 85635-5836
(520) 335-6118
(520) 335-6736
Mailing address
1700 S HWY 92 STE A, SIERRA VISTA, AZ 85635-5836
(520) 335-6118
(520) 335-6736
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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