| Legacy Human Services, Inc. | |
|
1020 County Home Rd Henderson NC 27536-5474 | |
| (252) 492-8699 | |
| (252) 492-1172 |
| Full Name | Legacy Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1020 County Home Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Lynn Fleming (FINANCE DIRECTOR) |
| Authorized Official Contact | 2524928699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Human Services, Inc. Po Box 88 Henderson NC 27536-0088 Ph: (252) 492-8699 | Legacy Human Services, Inc. 1020 County Home Rd Henderson NC 27536-5474 Ph: (252) 492-8699 |
| NPI Number | 1023277803 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023277803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL 091 001 (North Carolina) | Primary |
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