Organization
LEGACY HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G WILSON JR. (CHIEF FINANCIAL OFFICER)
(919) 424-5080
Entity
Organization
Contact information
Practice address
4560 W ALEXIS RD, TOLEDO, OH 43623-1082
(419) 214-1623
(419) 214-1624
Mailing address
3001 SPRING FOREST RD STE 101, RALEIGH, NC 27616-2816
(919) 424-4312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/06/2019
Last updated
03/19/2019
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