Organization
LEGACY HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M HOSKINS (PRESIDENT)
(919) 424-5080
Entity
Organization
Contact information
Practice address
12826 DAYLIGHT CIR, SAINT LOUIS, MO 63131
(314) 384-3654
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/07/2012
Last updated
08/16/2018
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