Legacy Haven LLC

NPI #1679331508 in Euclid, Ohio

Provider Information

NPI Number: 1679331508
Entity Type: Organization
Organization Name: Legacy Haven LLC
Primary Specialty: Home Health Aide
Enumeration Date: Mar 6, 2024
Last Updated: Mar 6, 2024

Practice Location

Address: 19151 LOCHERIE AVE
City: Euclid
State: Ohio
ZIP Code: 44119-1409
Phone: (216) 910-8977

Authorized Official

Name: DISHELL PERRYMAN
Title: OWNER
Phone: (216) 910-8977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Homemaker	376J00000X
Home Health Aide	374U00000X	Primary

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