# LEGACY HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063792950
- **Authorized official:** MRS. NINA MUNGO RM (AREA REGION DIRECTOR)
- **Authorized official phone:** (757) 420-1485

## Contact information

- **Practice address:** 6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
- **Practice address phone:** (757) 420-1485
- **Mailing address:** 6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
- **Mailing address phone:** (757) 420-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2306601887 | VA | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 08/23/2011