| Legacy Human Services, Inc. | |
|
510 Dabney Dr Henderson NC 27536-3946 | |
| (252) 438-5667 | |
| (252) 438-4857 |
| Full Name | Legacy Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Dabney Dr, Henderson, North Carolina |
| Authorized Official Name and Position | Lynn Fleming (FINANCE OFFICER) |
| 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. 510 Dabney Dr Henderson NC 27536-3946 Ph: (252) 438-5667 |
| NPI Number | 1255460721 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255460721 | NPI | - | NPPES |
| 6005988 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C001419 (North Carolina) | Primary |
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