Organization · Type 2 NPI
Legacy Human Services, Inc.
Adult Care Home Facility · Ridgeway, NC
NPI number
1902075690
Active
Practice location
109 Mustian Road, Warren County Group Home
Ridgeway, NC 27570
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-093-031 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-093-031 (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.
About NPI 1902075690
Legacy Human Services, Inc.'s National Provider Identifier is 1902075690, issued on Feb 27, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ridgeway, NC. The record was last updated on Sep 10, 2021.