| NPI | 1407515687 |
|---|---|
| Other Name | LEGACY HCTC |
| Entity Type | Organization |
| Authorized Contact | SHONICA HARRIS JONES Director 191-951-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |