OrganizationActive
Clark Legacy Home Health, LLC
NPI 1922956259 · In Home Supportive Care Agency · Brandon, MS
Provider details
- NPI number
- 1922956259
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Eric Clark, Owner(601) 942-2115
Specialties & taxonomies
Agencies
Practice location
450 N Brandon Blvd
Brandon, MS 39042-8340
Phone: (601) 942-2115
Fax: (601) 942-2115
Approximate (ZIP-level) locationGet directions
Mailing address
450 N Brandon Blvd
Brandon, MS 39042-8340
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.