Organization
LEGACY HOME CARE
Active
Other names
Legacy Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA ANDERSON (DIRECTOR)
(336) 287-4841
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT, WINSTON SALEM, NC 27103-1356
(336) 778-3356
Mailing address
615 SAINT GEORGE SQUARE CT, WINSTON SALEM, NC 27103-1356
(336) 778-3356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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