| NPI | 1063612984 |
|---|---|
| Doing Business As | LEGACY |
| Entity Type | Organization |
| Authorized Contact | TETEASA MICHELLE SHAW Director 864-942-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |