Organization
LIVING LEGACY ADULT DAY HEALTH PROGRAM
Active
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
Update your record
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