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Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MARIE PETTIGREW M.ED. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(434) 250-5112
Entity
Organization
Contact information
Practice address
300 W HARGETT ST, UNIT 714, RALEIGH, NC 27601-1591
(434) 250-5112
Mailing address
300 W HARGETT ST, UNIT 714, RALEIGH, NC 27601-1591
(434) 250-5112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
9883
NC
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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