| Legacy Life Center Llc | |
|
4530 S Eastern Ave Ste 1 Las Vegas NV 89119-6181 | |
| (702) 507-0553 | |
| Not Available |
| Full Name | Legacy Life Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4530 S Eastern Ave Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Alesia Harper (CHAIRMAN) |
| Authorized Official Contact | 9494633881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Life Center Llc 1350 E Flamingo Rd # 412 Las Vegas NV 89119-5263 Ph: (702) 507-0553 | Legacy Life Center Llc 4530 S Eastern Ave Ste 1 Las Vegas NV 89119-6181 Ph: (702) 507-0553 |
| NPI Number | 1912478173 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912478173 | NPI | - | NPPES |
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