Organization · Type 2 NPI

Legacy Human Services, Inc.

Adult Care Home Facility · Henderson, NC

NPI number 1811166507 Active

Practice location

941 U.s. 158, Vance Adult Group Home
Henderson, NC 27537

Call (252) 492-7778 Map

Fax (252) 438-6720

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-091-062 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	MHL-091-061 (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 1811166507

Legacy Human Services, Inc.'s National Provider Identifier is 1811166507, issued on Feb 27, 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.