Organization
LEGACY HEALTHCARE SERVICES, INC
Active
Other names
Legacy Healthcare @ Grand Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G WILSON JR. (CFO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
5901 MACARTHUR BLVD NW, WASHINGTON, DC 20016-2541
(919) 424-5080
(919) 431-9224
Mailing address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(919) 424-5080
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/09/2014
Last updated
01/22/2026
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