LEGACY HEALTHCARE ADVANTAGE LLC

Case Management

Code: 251B00000X

Home Health

Code: 251E00000X

Hospice Care, Community Based

Code: 251G00000X

Nursing Care

Code: 251J00000X

Community/Behavioral Health

Code: 251S00000X

Clinical Medical Laboratory

Code: 291U00000X

Health Maintenance Organization

Code: 302R00000X

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Respite Care

Code: 385H00000X

Respite Care — Respite Care, Mental Illness, Child

Code: 385HR2055X

Respite Care — Respite Care, Intellectual and/or Developmental Disabilities, Child

Code: 385HR2060X

Respite Care — Respite Care, Physical Disabilities, Child

Code: 385HR2065X

In Home Supportive Care

Code: 253Z00000X