Provider Demographics
NPI:1073389854
Name:LERCH LEGACY SERVICES, INC
Entity Type:Organization
Organization Name:LERCH LEGACY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:LERCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-1132
Mailing Address - Street 1:7631 MISSION PT
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-6551
Mailing Address - Country:US
Mailing Address - Phone:210-614-1132
Mailing Address - Fax:210-614-6399
Practice Address - Street 1:4466 LOCKHILL SELMA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2078
Practice Address - Country:US
Practice Address - Phone:210-614-1132
Practice Address - Fax:210-614-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care