Organization
LEGACY CARE IN HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA ELNORA THOMPSON (DIRECTOR)
(314) 542-3121
Entity
Organization
Contact information
Practice address
111 W PORT PLZ FL 6, SAINT LOUIS, MO 63146-3011
(314) 542-3121
(314) 480-8301
Mailing address
111 W PORT PLZ FL 6, SAINT LOUIS, MO 63146-3011
(314) 542-3121
(314) 480-8301
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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