Organization
LEGACY TREATMENT CENTER
Active
Organization
LEGACY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (DIRECTOR)
(561) 715-9288
Entity
Organization
Contact information
Practice address
4421 STUART ANDREW BLVD, SUITE 608, CHARLOTTE, NC 28217-1589
(704) 405-0908
Mailing address
4421 STUART ANDREW BLVD, SUITE 608, CHARLOTTE, NC 28217-1589
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2055755
NC
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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