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Organization

LEGACY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA GRANT (GENERAL COUNSEL & VP OF HUMAN RES.)
19194245086
Entity
Organization

Contact information

Practice address
106 MOUNT VISTA RD, DENTON, NC 27239-8793
(336) 859-0773
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1089
NC

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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