DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LEGACY HEALTHCARE SERVICES INC

MEDICARE: LEGACY HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1477216315
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 110 HORIZON DR STE 310
Second Line :
City : RALEIGH
State : NC
Zip : 27615-4926
Country : US
Telephone Number : 919-424-5080
Fax Number :
Provider Business Practice Location Address
First Line : 905 ASSISI LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32233-2972
Country : US
Telephone Number : 855-239-3467
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. WILLIAM G WILSON JR.
Credential :
Telephone Number : 919-424-5080
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/28/2021

Similar Medicare Providers

1093074171 — LISA EVANS BECKNER DPT
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-583-5399
Practice Fax:
1093222515 — ANTHEM LAKES
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-746-7220
Practice Fax:
1538728498 — AQUILLA LYNETTE CRIBB
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax: 904-240-4429
1891340550 — JOSEPH RAYMOND JUMARANG
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax:
1821648577 — DANIELLE WOODRING
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-667-3660
Practice Fax: 904-240-4429
1053206615 — VTR ANTHEM LAKES, LLC
Practice Location Address:
905 ASSISI LN
JACKSONVILLE, FL
32233-2972
Practice Phone: 904-583-5399
Practice Fax:

Directions to “LEGACY HEALTHCARE SERVICES INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.