Organization
LEGACY PRIVATE HOME CARE SERVICES
Active
Other names
legacy private home care services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAYINKA OYEDOTUN (OWNER)
(310) 755-4074
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE STE 578, ATLANTA, GA 30345-2896
(310) 755-4045
Mailing address
2302 PARKLAKE DR NE STE 578, ATLANTA, GA 30345-2896
(310) 755-4045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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