Organization
LEGACY GENERATION INCORPORATED
Active
Other names
My Family's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE A BARNES (PRESIDENT)
(704) 764-1819
Entity
Organization
Contact information
Practice address
5960 FAIRVIEW RD, SUITE 400, CHARLOTTE, NC 28210-3119
(704) 764-1818
Mailing address
11012 PARKLEIGH DR, CHARLOTTE, NC 28262-4461
(704) 764-1818
(704) 764-1817
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419019
—
NC
01
—
HC4364
NC DHSR
NC
Enumeration date
02/23/2011
Last updated
02/10/2014
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