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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
WILLIAM G WILSON JR. (CFO)
(919) 424-4312
Entity
Organization
Contact information
Practice address
487 HIGHWAY 378, LEXINGTON, SC 29072-9177
(888) 239-3467
Mailing address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(910) 724-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/25/2020
Last updated
09/08/2021
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