# LEGACY HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1629301130
- **Authorized official:** MRS. MANAL ALAN FAKHOURY M.A., CFY-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (919) 306-1847

## Contact information

- **Practice address:** 1315 GREENSBORO RD, HIGH POINT, NC 27260-2611
- **Practice address phone:** (133) 682-1692
- **Mailing address:** 3001 SPRING FOREST RD, RALEIGH, NC 27616-2815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009