Legacy
Organization Active NPI Nursing Facility/Intermediate Care Facility · Yadkinville, NC
NPI 1306284674 · NPPES record last updated Jun 10, 2013
Key facts
- NPI
- 1306284674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 4645 (NC)
- Legal business name
- LEGACY
- Practice address
- 903 W Main Street
Yadkinville, NC 27055 - Phone
- (336) 677-1345
- NPI assigned
- Jun 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jessica Lindsey Bell, COTA/L
- Title
- Ota
- Phone
- (828) 729-2457
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Community Care Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 4645 | NC | Yes |
Addresses
Primary practice location
903 W Main Street
Yadkinville, NC 27055
Mailing address
1222 NC Highway 801 N
Advance, NC 27006-6757
Phone (828) 729-2457
Other providers in Yadkinville, NC
- Craig Landon Kester
- Gunnar Easton Key
- Mary Kathryn Brewer Key
- Siva Sankar Krishnan
- Laboratory Corporation of America Holdings
- Holly Delayne Lewis
- Liberty Healthcare Group, LLC
- Liberty Healthcare Group, LLC
- Polly Sue Lindsey
- Mallory Beck Linville
All providers in Yadkinville, NC · Nursing Facility/Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.