Organization
LEGACY HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN FLEMING (FINANCE DIRECTOR)
(252) 492-8699
Entity
Organization
Contact information
Practice address
200 WARREN ST, WARRENTON, NC 27589-1832
(252) 257-3004
Mailing address
PO BOX 88, HENDERSON, NC 27536-0088
(252) 492-8699
(252) 492-1172
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL 093 025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804853
—
NC
Enumeration date
03/03/2007
Last updated
09/10/2021
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