Provider Demographics
NPI:1255119475
Name:LEGACY ASSURED HOME CARE, LLC
Entity type:Organization
Organization Name:LEGACY ASSURED HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:ARGROW
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA
Authorized Official - Phone:912-358-8438
Mailing Address - Street 1:6304 GARRARD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-2737
Mailing Address - Country:US
Mailing Address - Phone:912-358-8438
Mailing Address - Fax:912-239-6657
Practice Address - Street 1:6304 GARRARD AVE STE B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-2737
Practice Address - Country:US
Practice Address - Phone:912-358-8438
Practice Address - Fax:912-239-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care