| Legacy Human Services, Inc. | |
|
560 Dabney Dr Suite B Henderson NC 27536-3946 | |
| (252) 738-0002 | |
| (252) 430-0099 |
| Full Name | Legacy Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 560 Dabney Dr, 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. 560 Dabney Dr Suite B Henderson NC 27536-3946 Ph: (252) 738-0002 |
| NPI Number | 1700998143 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700998143 | NPI | - | NPPES |
| 8300213B | Medicaid | NC | |
| 6003181 | Medicaid | NC | |
| 8300213 | Medicaid | NC | |
| 8300213A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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