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Organization

LEGACY CARE SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALIA JONES (OWNER/CEO)
(919) 798-9026
Entity
Organization

Contact information

Practice address
401 HALIFAX ST STE 2G, EMPORIA, VA 23847-1711
(919) 798-9026
Mailing address
466 BELMONT LAKE DR, ROCKY MOUNT, NC 27804-5928
(919) 798-9026

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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