Organization
LEGACY LEARNING CENTER LLC
Active
Organization
LEGACY LEARNING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HARRISON (PRESIDENT)
(702) 751-4801
Entity
Organization
Contact information
Practice address
4794 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 751-4801
Mailing address
4794 S EASTERN AVE, LAS VEGAS, NV 89119-6145
(702) 751-4801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251300000X
—
251C00000X
Developmentally Disabled Services Day Training Agency
251C00000X
—
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
—
Other
Enumeration date
11/18/2016
Last updated
05/25/2018
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