Organization
LEGACY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESI-RAE HALL (DELEGATED OFFICIAL)
(757) 251-9419
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 536-2246
Mailing address
PO BOX 645986, PITTSBURGH, PA 15264-5257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
363L00000X
Nurse Practitioner
—
VA
Other
Enumeration date
03/30/2013
Last updated
03/20/2026
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