NPI 1255145611
Legacy Health Services LLC
Practice location
- Address
- 16003 E 107th Ave, Commerce City, CO 80022-8723
- Phone
- (317) 702-2547
Authorised official
- Name
- Olawale Sunday Fakuade
- Title
- Director/Owner
- Phone
- (317) 702-2547
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1255145611
- Entity type
- Organization
- NPI issued
- 5 Feb 2025
- Record last updated
- 5 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.