Organization
LEGACY HEALTHCARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON OKWUOBU (OWNER)
(623) 521-0505
Entity
Organization
Contact information
Practice address
3143 E GREENWAY RD STE 509, PHOENIX, AZ 85032-4476
(623) 521-0505
Mailing address
3143 E GREENWAY RD STE 509, PHOENIX, AZ 85032-4476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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