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General NPI Number Information
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NPI Number | 1861342081
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Entity Type | Organization
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Legal Business Name | THE LEGACY CARE HOME
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1205 ARDEN RD
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City | SALISBURY
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State | NC
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Zip | 28144-2112
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Country | US
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Telephone | 980-234-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 305 N SHAVER ST
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City | SALISBURY
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State | NC
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Zip | 28144-5156
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA L PHIFER
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Credential |
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Telephone | 980-234-6170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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