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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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