Legacy Healthcare Solutions
Organization Active NPI Adult Day Care Clinic/Center · Baconton, GA
NPI 1508204413 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1508204413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- LEGACY HEALTHCARE SOLUTIONS
- Practice address
- 318 South Railroad Street
Baconton, GA 31716-0213 - Phone
- (229) 603-1605
- NPI assigned
- Jun 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Shiquita Charmaine Jefferson, R.N.
- Title
- Director
- Phone
- (229) 603-1605
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes |
Addresses
Primary practice location
318 South Railroad Street
Baconton, GA 31716-0213
Mailing address
PO Box 213
Baconton, GA 31716-0213
Phone (229) 603-1605
Other providers in Baconton, GA
- Baconton Parents & Citizens for Better Education
- Addie Campbell-Mungen
- Maegan Cannon
- Georgia Pines Community Service Board
- Cokeshia Mango
- Jarrell Marcus
- Safe-T-1St Transportation Service LLC
- Jaycee Santos
- Shurnika Breanna Silas
All providers in Baconton, GA · Adult Day Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 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.