| NPI | 1073195673 |
|---|---|
| Doing Business As | LEGACY RESIDENTIAL CARE HOME |
| Doing Business As | LEGACY AFFORDABLE CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN LOCKETT Administrator 918-378-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |