Organization
LEGACY FAMILY HOME CARE
Active
Other names
Legacy Family Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JA'VONNA MOSS (OWNER/OPERATOR)
(724) 510-4150
Entity
Organization
Contact information
Practice address
405 BIRT AVE, NEW CASTLE, PA 16101-1901
(724) 510-4150
Mailing address
405 BIRT AVE, NEW CASTLE, PA 16101-1901
(724) 510-4150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/04/2021
Last updated
05/17/2022
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