| NPI | 1831908169 |
|---|---|
| Former Legal Business Name | LEGENDARY HOMECARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | ERNEST GALISON GIBSON Administrator 215-485-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |