Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization
LEGACY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G WILSON JR. (CFO)
(919) 424-5080
Entity
Organization
Contact information
Practice address
2220 EXECUTIVE DR, HAMPTON, VA 23666-6607
(757) 224-7237
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-4316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/15/2020
Last updated
12/09/2020
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