Legacy Home Care Lc

NPI #1952459372 in Meridian, Idaho

Provider Information

NPI Number
1952459372
Entity Type
Organization
Organization Name
Legacy Home Care Lc
Primary Specialty
Home Health
Enumeration Date
Jan 8, 2007
Last Updated
Aug 7, 2007

Practice Location

Address
680 S PROGRESS AVE
Address 2
SUITE 2A
State
Idaho
ZIP Code
83642-2957
Phone
(208) 888-3669

Authorized Official

Name
MR. ROGER WAYDE SONDRUP, PT
Title
OWNER ADMINISTRATOR
Phone
(208) 888-3669

Specialties & Taxonomy Codes

Specialty
Home Health

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