| NPI | 1215572789 |
|---|---|
| Doing Business As | LEGACY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW R EVENSON Owner 715-533-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |