Provider Demographics
NPI:1619240736
Name:LEGACY OF LOVE HOME HEALTH, INC
Entity Type:Organization
Organization Name:LEGACY OF LOVE HOME HEALTH, INC
Other - Org Name:LEGACY OF LOVE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:806-385-9329
Mailing Address - Street 1:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-1308
Mailing Address - Country:US
Mailing Address - Phone:806-385-9329
Mailing Address - Fax:806-385-9340
Practice Address - Street 1:125 E MARSHALL HOWARD BLVD
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-5625
Practice Address - Country:US
Practice Address - Phone:806-385-9329
Practice Address - Fax:806-385-9340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health