| Organization Name: | LEGACY HEALTHCARE SERVICES |
| NPI Number: | 1003113499 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA AUGUSTON (REHAB DIRECTOR) |
| Mailing Address: | 750 Se Cary Pkwy Cary |
| State: | NC US |
| Postal Code: | 275115682 |
| Phone Number: | 9194609955 |
| Fax Number: | 9194609959 |
| NPI Enumeration Date: | 02/21/2011 |
| NPI Last Update Date: | 02/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 3796 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |