Organization
LEGACY LIVING HOMES LLC
Active
Organization
LEGACY LIVING HOMES LLC
Active
Other names
My Legacy Living
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO MCNULTY (ADMINISTRATOR-IN-TRAINOR)
(704) 778-9999
Entity
Organization
Contact information
Practice address
3662 PATRICIA DR NW, CONCORD, NC 28027-5625
(704) 412-9906
Mailing address
11322 ERWIN RIDGE AVE, CHARLOTTE, NC 28213-4863
(704) 778-9999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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