Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HOSKINS OTR (CEO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
9540 E 75TH ST, RAYTOWN, MO 64138-1626
(816) 886-6048
Mailing address
3001 SPRING FOREST RD STE 101, RALEIGH, NC 27616-2816
(919) 424-5080
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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