| Lms Legacy Care Services, Llc | |
|
1001 N Leland Ave Muncie IN 47303-3338 | |
| (765) 215-3448 | |
| Not Available |
| Full Name | Lms Legacy Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 N Leland Ave, Muncie, Indiana |
| Authorized Official Name and Position | Tishana D Merrill (LPN) |
| Authorized Official Contact | 7652153448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lms Legacy Care Services, Llc 3160 Cherry Lake Ln Ste A Indianapolis IN 46235-8613 Ph: (765) 215-3448 | Lms Legacy Care Services, Llc 1001 N Leland Ave Muncie IN 47303-3338 Ph: (765) 215-3448 |
| NPI Number | 1194430256 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194430256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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