The Legacy Haus
NPI #1407736820 in Belden, Mississippi
Provider Information
- NPI Number
- 1407736820
- Entity Type
- Organization
- Organization Name
- The Legacy Haus
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 5, 2025
- Last Updated
- Sep 5, 2025
Practice Location
- Address
- 3195 MCCULLOUGH BLVD
- City
- Belden
- State
- Mississippi
- ZIP Code
- 38826-8311
- Phone
- (662) 350-0311
Authorized Official
- Name
- PRAYLAR R SHELLS, SPECIALIST
- Title
- PROFESSIONAL COSMOTOLOGY
- Phone
- (662) 419-6369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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