Legacy Healthcare Providers, Inc.

NPI 1003970104 - Home Health - 251E00000X

NPI Details
NPI 1003970104
Enumeration Date 12/21/2006
Last Updated 12/17/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARIEGENE MARIEGENE
Position ADMINISTRATOR, OWNER
Phone (626) 858-5611
Fax (626) 858-5614
Practice Location
1272 CENTER COURT DR
STE. 203
COVINA CA, 91724-3667, US
Phone (626) 858-5611
Fax (626) 858-5614
Business Location
1272 CENTER COURT DR
STE. 203
COVINA CA, 91724-3667, US
Phone (626) 858-5611
Fax (626) 858-5614
Toxanomy
Taxonomy Code 251E00000X
License State California
License Number 980001464
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According to our database, Legacy Healthcare Providers, Inc. NPI is 1003970104, taxonomy code is 251E00000X and license number is 980001464, license state is located at California. Legacy Healthcare Providers, Inc. physically located at 1272 Center Court Dr, Covina CA, 91724-3667. NPI Number 1033115704 has the healthcare provider type.

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1003970104 NPI number is provided on an as is basis without warranty of any kind. 1003970104 is maintained by the National Plan & Provider Enumeration System. The contents of Legacy Healthcare Providers, Inc. are for informational purposes only.