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Organization
THE REID LEGACY HOME LLC
Active
Organization
THE REID LEGACY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LAMONT REID (OWNER)
(828) 228-5299
Entity
Organization
Contact information
Practice address
137 FALLS CREEK DR, SPRING LAKE, NC 28390-4606
(828) 228-5299
Mailing address
1157 COACHMAN WAY, SANFORD, NC 27332-6190
(828) 228-5299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
08/16/2026
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