Organization
LATEEFAH KHADEJAH IRVINE
Active
Other names
Legacy Memory Care at Kinston, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATEEFAH KHADEJAH IRVINE (OWNER)
(973) 393-5188
Entity
Organization
Contact information
Practice address
1406 E SHINE ST, KINSTON, NC 28501-5836
(252) 527-0438
(252) 527-0433
Mailing address
3532 LENA LN, GREENVILLE, NC 27834-6163
(973) 393-5188
(252) 527-0433
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
07/08/2025
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