| Legacy Family Services Llc | |
|
620 E Hillcrest Ln Mustang OK 73064-4281 | |
| (405) 376-1188 | |
| Not Available |
| Full Name | Legacy Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 620 E Hillcrest Ln, Mustang, Oklahoma |
| Authorized Official Name and Position | Ashley Bryant (CEO/OWNER) |
| Authorized Official Contact | 4052021027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Services Llc 620 E Hillcrest Ln Mustang OK 73064-4281 Ph: () - | Legacy Family Services Llc 620 E Hillcrest Ln Mustang OK 73064-4281 Ph: (405) 376-1188 |
| NPI Number | 1881020600 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881020600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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