Organization · Type 2 NPI

Legacy

Nursing Facility/Intermediate Care Facility · Raleigh, NC

NPI number 1992115406 Active

Practice location

3001 Spring Forest Rd
Raleigh, NC 27616-2815

Fax (919) 424-5085

Mailing address

3001SPRING Forest Road
Raliegh, NC 27616

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X5760 (NC)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1992115406

Legacy's National Provider Identifier is 1992115406, issued on May 6, 2014. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Raleigh, NC. The record was last updated on May 6, 2014.