Organization
LEGACII HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L'TIA RENEE LEWIS RN (ADMINISTRATOR)
(317) 918-7542
Entity
Organization
Contact information
Practice address
6613 HAZELHATCH DR, INDIANAPOLIS, IN 46268-8633
(317) 918-7542
Mailing address
6613 HAZELHATCH DR, INDIANAPOLIS, IN 46268-8633
(317) 918-7542
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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