Kingdom Sons Legacy House Corp
NPI #1053297739 in Port Richey, Florida
Provider Information
- NPI Number
- 1053297739
- Entity Type
- Organization
- Organization Name
- Kingdom Sons Legacy House Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JACK C. MONTGOMERY VA MEDICAL CENTER
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Aug 15, 2025
- Last Updated
- Aug 15, 2025
Practice Location
- Address
- 8531 ZANE LN
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-1261
- Phone
- (706) 668-8169
Authorized Official
- Name
- KRYSTAL RODGERS
- Title
- FOUNDER/CEO
- Phone
- (706) 668-8169
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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