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Organization

LASTING LEGACY HOME CARE LLC

Active
Other names
LASTING LEGACY HOME CARE
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY BOLTON JR. (OWNER)
(706) 564-1472
Entity
Organization

Contact information

Practice address
463688 STATE ROAD 200 STE 1522, YULEE, FL 32097-0304
(904) 849-5192
Mailing address
81508 BOATSWAIN CT, FERNANDINA BEACH, FL 32034-7118

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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