LEGACY HEALTHCARE MANAGEMENT INC. NPI 1306105945

NPI Information

LEGACY HEALTHCARE MANAGEMENT, INC. is an adult care home custodial care facility in Little Rock, AR. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LEGACY HEALTHCARE MANAGEMENT, INC. NPI is 1306105945. The provider is registered as an organization entity type.

The provider's business location address is:

4800 W 13TH ST
STE #D
LITTLE ROCK, AR
ZIP 72204-900
Phone: (501) 353-2035

The provider's authorized official is Julius Lamont Moore .
The authorized official title is Secretary and has the following contact phone number (501) 392-2924.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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