Organization Name: | LEGUM HOME HEALTH CARE, INC |
NPI Number: | 1083778898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG DEDRICK (DIRECTOR OF REIMBURSEMENT) |
Mailing Address: | 30 Ebco Cir Suite 102 Waynesboro |
State: | VA US |
Postal Code: | 229807344 |
Phone Number: | 5409323000 |
Fax Number: | 5409323028 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |