Legacy
NPI #1831539824 in Henderson, North Carolina
Provider Information
- NPI Number
- 1831539824
- Entity Type
- Organization
- Organization Name
- Legacy
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 5, 2013
- Last Updated
- Jul 5, 2013
Practice Location
- Address
- 2275 RUIN CREEK RD
- City
- Henderson
- State
- North Carolina
- ZIP Code
- 27537-8732
- Phone
- (252) 492-0066
Authorized Official
- Name
- MRS. JAYME MICHELE BOURGEOIS, OTA/L
- Title
- OCCUPATIONAL THERAPY ASSISTANT
- Phone
- (919) 435-1284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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