# LATEEFAH KHADEJAH IRVINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Memory Care at Kinston, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760085542
- **Authorized official:** MRS. LATEEFAH KHADEJAH IRVINE (OWNER)
- **Authorized official phone:** (973) 393-5188

## Contact information

- **Practice address:** 1406 E SHINE ST, KINSTON, NC 28501-5836
- **Practice address phone:** (252) 527-0438
- **Practice address fax:** (252) 527-0433
- **Mailing address:** 3532 LENA LN, GREENVILLE, NC 27834-6163
- **Mailing address phone:** (973) 393-5188
- **Mailing address fax:** (252) 527-0433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 07/08/2025