Provider Demographics
NPI:1780042473
Name:R.G. THERAPY SERVICES INC. DBA: LEGACY HOME HEALTH
Entity Type:Organization
Organization Name:R.G. THERAPY SERVICES INC. DBA: LEGACY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GEIB
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:407-273-7094
Mailing Address - Street 1:630 N MAITLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4423
Mailing Address - Country:US
Mailing Address - Phone:407-539-2488
Mailing Address - Fax:407-539-2408
Practice Address - Street 1:1840 CLASSIQUE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5748
Practice Address - Country:US
Practice Address - Phone:407-273-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health