Healthcare Provider Details

I. General information

NPI: 1861326118
Provider Name (Legal Business Name): LEGACY CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 EASTGATE LOOP
CHATTANOOGA TN
37411-5691
US

IV. Provider business mailing address

711 EASTGATE LOOP
CHATTANOOGA TN
37411-5691
US

V. Phone/Fax

Practice location:
  • Phone: 423-227-2780
  • Fax:
Mailing address:
  • Phone: 423-304-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALICIA WILLIAMS
Title or Position: CEO
Credential: TRANSPORTATION
Phone: 423-304-7337