Provider Demographics
NPI:1568234433
Name:LEGACY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LEGACY HOME HEALTH CARE INC
Other - Org Name:LEGACY HOME HEALTH CARE OF PUTNAM COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-478-7030
Mailing Address - Street 1:815 S MOODY RD
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-8322
Mailing Address - Country:US
Mailing Address - Phone:386-312-7411
Mailing Address - Fax:866-494-1511
Practice Address - Street 1:815 S MOODY RD STE 1
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-8322
Practice Address - Country:US
Practice Address - Phone:386-312-7411
Practice Address - Fax:866-530-1994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEGACY HOME HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-24
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health