Healthcare Provider Details

I. General information

NPI: 1902724933
Provider Name (Legal Business Name): LEGACY OF HOPE WELLNESS AND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 NANN ST
ENTERPRISE AL
36330-2348
US

IV. Provider business mailing address

113 NANN ST
ENTERPRISE AL
36330-2348
US

V. Phone/Fax

Practice location:
  • Phone: 251-421-9054
  • Fax:
Mailing address:
  • Phone: 251-421-9054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARAY LAMAR
Title or Position: FOUNDER AND CEO
Credential: CCMA
Phone: 251-421-9054