Organization · Type 2 NPI

Legacy Human Services, Inc.

Adult Care Home Facility · Henderson, NC

NPI number 1790954576 Active

Practice location

1642 Graham Ave, Graham Avenue Group Home
Henderson, NC 27536-2914

Call (252) 492-9545 Map

Mailing address

PO Box 88
Henderson, NC 27536-0088

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Adult Care Home Facility Primary	311ZA0620X	MHL-091-060 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	MHL-091-060 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1790954576

Legacy Human Services, Inc.'s National Provider Identifier is 1790954576, issued on Feb 26, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Henderson, NC. The record was last updated on Sep 10, 2021.