NPI 1306105945

Legacy Healthcare Management, INC.

Organisation Adult Care Home Facility Little Rock, AR

Practice location

Address: 4800 W 13th St STE #d, Little Rock, AR 72204-1900
Phone: (501) 353-2035

Authorised official

Name: Julius Lamont Moore
Title: Secretary
Phone: (501) 392-2924

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1306105945
Entity type: Organization
NPI issued: 15 May 2012
Record last updated: 15 May 2012

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.