Organization
LEGACY HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GRANT (GENERAL COUNSEL)
(919) 424-5086
Entity
Organization
Contact information
Practice address
1748 KINSAUL WILLOUGHBY RD, GREENVILLE, NC 27834-7157
(252) 864-3532
Mailing address
1748 KINSAUL WILLOUGHBY RD, GREENVILLE, NC 27834-7157
(252) 864-3532
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1421
NC
251S00000X
Community/Behavioral Health Agency
1421
NC
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1421
NC
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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