LT
LEGACY TRAIL SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
PLANO, TX
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1518486091
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients24
RevalidationDue 2024-05-31
Authorized official
NameVANESSA WALLS
TitlePRESIDENT, NORTHERN MARKET
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