Organization
LEGACY HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GILL WILSON JR. (CFO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
13716 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-6215
(240) 257-3601
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(910) 724-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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