| Lhbm Legacy Llc | |
|
705 Hawthorne Ave Janesville WI 53545-1003 | |
| (920) 510-5664 | |
| Not Available |
| Full Name | Lhbm Legacy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 705 Hawthorne Ave, Janesville, Wisconsin |
| Authorized Official Name and Position | Zachary Pate (OWNER) |
| Authorized Official Contact | 9205105664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lhbm Legacy Llc 705 Hawthorne Ave Janesville WI 53545-1003 Ph: (920) 510-5664 | Lhbm Legacy Llc 705 Hawthorne Ave Janesville WI 53545-1003 Ph: (920) 510-5664 |
| NPI Number | 1407661515 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407661515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
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