Organization
LEGACY U HEALTH CARE CONSULTING & TRAINING CENTER
Active
Other names
Legacy HCTC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONICA HARRIS JONES RN (DIRECTOR)
(191) 951-6922
Entity
Organization
Contact information
Practice address
3900 MERTON DR STE 250, RALEIGH, NC 27609-6636
(252) 258-5093
(919) 964-3105
Mailing address
3900 MERTON DR STE 250, RALEIGH, NC 27609-6636
(252) 258-5093
(919) 964-3105
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074
NC BOARD OF NURSING - CERTIFICATE OF PLLC
NC
01
—
34D2013034
DEPARTMENT OF HEALTH & HUMAN SERVICES - CLIA WAIVER
NC
01
—
C201922000641-1
NC SECRETARY OF STATE- ARTICLES OF INCORPORATION
NC
Enumeration date
12/15/2021
Last updated
12/15/2021
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