Organization
LEGACY HEALTHCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIQUITA CHARMAINE JEFFERSON R.N. (DIRECTOR)
(229) 603-1605
Entity
Organization
Contact information
Practice address
318 SOUTH RAILROAD STREET, BACONTON, GA 31716-0213
(229) 603-1605
Mailing address
PO BOX 213, BACONTON, GA 31716-0213
(229) 603-1605
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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