NPI | 1326626813 |
---|---|
Doing Business As | LEGACY FAMILY CARE HOME LLC |
Entity Type | Organization |
Authorized Contact | TARA SCOTT Owner 252-907-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2021-03-29 |
Last Update Date | 2021-03-29 |