NPI | 1508581000 |
---|---|
Doing Business As | MY LEGACY LIVING |
Entity Type | Organization |
Authorized Contact | LORENZO MCNULTY Administrator In Trainor 704-778-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2022-10-06 |
Last Update Date | 2022-10-06 |