NPI | 1760085542 |
---|---|
Doing Business As | LEGACY MEMORY CARE AT KINSTON, LLC |
Entity Type | Organization |
Authorized Contact | LATEEFAH KHADEJAH IRVINE Owner 973-393-5188 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-11-16 |
Last Update Date | 2025-07-08 |