Organization
LEGACY HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GRANT GENERAL COUNSEL (VP OF HUMAN RESOURCES)
(919) 424-5086
Entity
Organization
Contact information
Practice address
322 NUWAY CIR, LENOIR, NC 28645-3656
(828) 758-7326
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9409
NC
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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