Provider Demographics
NPI:1477306983
Name:LEGGETT, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LEGGETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5739 LEISURE SOUTH DR SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49548-6853
Mailing Address - Country:US
Mailing Address - Phone:616-644-7172
Mailing Address - Fax:
Practice Address - Street 1:5739 LEISURE SOUTH DR SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49548-6853
Practice Address - Country:US
Practice Address - Phone:616-644-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide