| Legacy Care Support Services Llc | |
|
401 Halifax St Ste 2g Emporia VA 23847-1711 | |
| (919) 798-9026 | |
| Not Available |
| Full Name | Legacy Care Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Halifax St Ste 2g, Emporia, Virginia |
| Authorized Official Name and Position | Talia Jones (OWNER/CEO) |
| Authorized Official Contact | 9197989026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Care Support Services Llc 466 Belmont Lake Dr Rocky Mount NC 27804-5928 Ph: (919) 798-9026 | Legacy Care Support Services Llc 401 Halifax St Ste 2g Emporia VA 23847-1711 Ph: (919) 798-9026 |
| NPI Number | 1952055758 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952055758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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