MEDICARE: TRANSITIONS LEGACY CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251E00000X	Home Health Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1770308926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS LEGACY CENTER

Provider Business Mailing Address
First Line	:	10030 GREEN LEVEL CHURCH RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-8194
Country	:	US
Telephone Number	:	984-444-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	10030 GREEN LEVEL CHURCH RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-8194
Country	:	US
Telephone Number	:	984-444-9292
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. TIARA KING
Credential	:
Telephone Number	:	984-444-9292

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

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Directions to “TRANSITIONS LEGACY CENTER ” Practice Location

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