Provider Demographics
NPI:1710535927
Name:LEGIANG HOLDINGS LLC
Entity Type:Organization
Organization Name:LEGIANG HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHUONG TRAM
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-401-1821
Mailing Address - Street 1:605 TOWNE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-5965
Mailing Address - Country:US
Mailing Address - Phone:254-399-0788
Mailing Address - Fax:
Practice Address - Street 1:605 TOWNE OAKS DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5965
Practice Address - Country:US
Practice Address - Phone:254-399-0788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care