Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M HOSKINS (CEO)
(919) 424-5081
Entity
Organization
Contact information
Practice address
9800 LINCOLN AVE, NEWBURGH, IN 47630
(812) 518-9386
Mailing address
3001 SPRING FOREST RD STE 101, RALEIGH, NC 27616-2816
(919) 424-4312
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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