# LEGACY HUMAN SERVICES, INC.

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

## Provider details

- **NPI number:** 1629107065
- **Authorized official:** LYNN FLEMING (FINANCE DIRECTOR)
- **Authorized official phone:** (252) 492-8699

## Contact information

- **Practice address:** 200 WARREN ST, WARRENTON, NC 27589-1832
- **Practice address phone:** (252) 257-3004
- **Mailing address:** PO BOX 88, HENDERSON, NC 27536-0088
- **Mailing address phone:** (252) 492-8699
- **Mailing address fax:** (252) 492-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL 093 025 | NC | Yes |

## Other

- **Enumeration date:** 03/03/2007
- **Last updated:** 09/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804853 | — | NC |