# LEGACY HEALTHCARE

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

## Provider details

- **NPI number:** 1578769634
- **Authorized official:** MRS. SUSAN WHITE (OT)
- **Authorized official phone:** (919) 477-6485

## Contact information

- **Practice address:** 9601 GALLOP LN, BAHAMA, NC 27503-9633
- **Practice address phone:** (919) 477-6485
- **Mailing address:** 9601 GALLOP LN, BAHAMA, NC 27503-9633
- **Mailing address phone:** (919) 477-6485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2542 | NC | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 08/22/2020