Organization
LIVING LEGACY ADULT DAY HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATEEFAH KHADEJAH IRVINE (OWNER)
(973) 393-5188
Entity
Organization
Contact information
Practice address
1001 E KING ST, KINSTON, NC 28501-5733
(252) 408-8330
Mailing address
1004 E BRIGHT ST, KINSTON, NC 28501-5720
(252) 408-8330
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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