Organization

Legacy Home Care Agency

Licensed Practical Nurse in Oxford, NC(View on Map)

Legal Business Name

Legacy Home Care Agency

NPI Number

1952508939

NPI Type

Organization

Enumeration Date

07/02/2007

Specialties

(Taxonomies)

Code

164W00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

HC3574

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1814
615B LEWIS ST

City

Oxford
Oxford

State

NC
NC

Postal Code

27565-1814
27565-3523

Country

US
US

Telephone Number

(919) 693-1067
(919) 693-1067

Authorized Official

Name

Ms. Tracy Haskins

Title or Position

DIRECTOR

Telephone Number

(919) 693-1067

Identifiers

Identifier

7100597
3418335

Identifier State

NC
NC

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address