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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
MR. WILLIAM GIL WILSON JR. (CHIEF FINANICAL OFFICER)
(919) 424-5080
Entity
Organization
Contact information
Practice address
2708 MEYER AVE SW, WYOMING, MI 49519-2333
(855) 239-3467
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(910) 724-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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