Organization
SJ LEGACY HOME LLC
Active
Organization
SJ LEGACY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENITA JAMES (CEO)
(252) 320-0823
Entity
Organization
Contact information
Practice address
1315 WHITE RD, WILLIAMSTON, NC 27892-7917
(252) 320-0823
Mailing address
2313B CHAVIS DR, GREENVILLE, NC 27858-8187
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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