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Organization

LEGACY HEALTH CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDGAR SOTELO-ZARATE (DIRECTOR)
(702) 994-3635
Entity
Organization

Contact information

Practice address
730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
(702) 994-3635
Mailing address
6512 N DECATUR BLVD STE 130-114, LAS VEGAS, NV 89131-1046
(702) 994-3635

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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