Organization
LEGACY HOMECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANTIA APPLEWHITE NURSE PRACTITIONER (DIRECTOR)
(919) 599-9019
Entity
Organization
Contact information
Practice address
3326 GUESS RD STE 106, DURHAM, NC 27705-2160
(919) 479-4014
Mailing address
PO BOX 62082, DURHAM, NC 27715-2082
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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