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Organization
LATEEFAH KHADEJAH IRVINE
Active
Organization
LATEEFAH KHADEJAH IRVINE
Active
Other names
Legacy Memory Care at Kinston, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATEEFAH KHADEJAH IRVINE (OWNER)
(973) 393-5188
Entity
Organization
Contact information
Practice address
1406 E SHINE ST, KINSTON, NC 28501-5836
(252) 527-0438
(252) 527-0433
Mailing address
3532 LENA LN, GREENVILLE, NC 27834-6163
(973) 393-5188
(252) 527-0433
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
11/16/2020
Last updated
07/08/2025
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