| Legacy Living Center | |
|
215 W Ruffin St Burlington NC 27217-2643 | |
| (336) 290-2538 | |
| Not Available |
| Full Name | Legacy Living Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 215 W Ruffin St, Burlington, North Carolina |
| Authorized Official Name and Position | Sharda Avernette Long (ADMINISTRATOR) |
| Authorized Official Contact | 3362902538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Living Center 215 W Ruffin St Burlington NC 27217-2643 Ph: (336) 290-2538 | Legacy Living Center 215 W Ruffin St Burlington NC 27217-2643 Ph: (336) 290-2538 |
| NPI Number | 1871159095 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871159095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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