NPI | 1952459372 |
---|---|
Doing Business As | LEGACY HOME HEALTH CARE |
Entity Type | Organization |
Authorized Contact | ROGER WAYDE SONDRUP Owner Administrator 208-888-3669 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: ID HH-224) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-08-07 |