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A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Care Home |
311ZA0620X | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Community/Behavioral Health |
251S00000X |
| NPI # | 1811166507 |
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| LBN Legal business name | LEGACY HUMAN SERVICES, INC. | ||||||||||||
| Authorized official | JACINTA JOHNSON - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/27/2008 | ||||||||||||
| Last updated | 09/10/2021 - About 5 years ago | ||||||||||||
| Identifiers |
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LEGACY HUMAN SERVICES, INC.