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Legacy850 Llc
Developmental Disabilities Clinic/Center in Gretna, Florida
NPI 1679249981

Legacy850 Llc is a Developmental Disabilities Clinic/Center based in Quincy, FL and is specialized in Developmental Disabilities. Legacy850 Llc practices in Gretna, FL. The NPI Number for Legacy850 Llc is 1679249981 and holds a License No. (Florida).

The current practice location address for Legacy850 Llc is 111 Henry Drive, Gretna, FL and can be reached out via phone at 850-868-1002.

Location: 111 Henry Drive, Gretna, FL, 32353-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679249981
Provider Name
Legacy850 Llc
Credential
Provider Entity Type
Organization
Address
111 Henry Drive, Gretna, FL, 32353-1701
Phone Number
850-868-1002
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Henry Drive
City
Gretna
State
Florida
Zip
32332
Phone Number
850-868-1002
Fax Number
person
Provider Business Mailing Address Details
Address
111 Henry Drive
City
Gretna
State
Florida
Zip
32332
Phone Number
850-868-1002
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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