Organization
JUST A LEGACY HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATREVIA MOCK (CEO)
(216) 713-4115
Entity
Organization
Contact information
Practice address
4389 NORTHFIELD RD APT 203C, CLEVELAND, OH 44128-4651
(216) 713-4115
Mailing address
4389 NORTHFIELD RD APT 203C, CLEVELAND, OH 44128-4651
(216) 713-4115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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