Organization
LEGENDARY TRANSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE N GIBBS (OWNER)
(252) 916-1169
Entity
Organization
Contact information
Practice address
1934 LONGLEAF LN, GREENVILLE, NC 27858-9049
(252) 916-1169
Mailing address
1934 LONGLEAF LN, GREENVILLE, NC 27858-9049
(252) 916-1169
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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