| Hcj Legacy Llc | |
|
1516 Somerset Ln Weatherford TX 76087-1296 | |
| (218) 508-4578 | |
| Not Available |
| Full Name | Hcj Legacy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1516 Somerset Ln, Weatherford, Texas |
| Authorized Official Name and Position | Matt Larue (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2185084578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcj Legacy Llc 1516 Somerset Ln Weatherford TX 76087-1296 Ph: (218) 508-4578 | Hcj Legacy Llc 1516 Somerset Ln Weatherford TX 76087-1296 Ph: (218) 508-4578 |
| NPI Number | 1285485466 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285485466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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