Organization
LEGACY HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M HOSKINS (CHIEF EXECUTIVE OFFICER)
(919) 424-5081
Entity
Organization
Contact information
Practice address
2333 CHAPEL HILL RD, COLUMBIA, MO 65203-1568
(573) 234-1091
(636) 707-1785
Mailing address
3001 SPRING FOREST RD STE 101, RALEIGH, NC 27616-2816
(919) 424-4312
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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