Organization
LEGACY RESIDENTIAL & COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYONA HOPE BARRETT (EXECUTIVE DIRECTOR)
(336) 417-1958
Entity
Organization
Contact information
Practice address
5407 SILVERBROOK DR, MC LEANSVILLE, NC 27301-9331
(336) 417-1958
Mailing address
5407 SILVERBROOK DR, MC LEANSVILLE, NC 27301-9331
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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