NPI 1265749535

Legacy Healthcare Services

Organisation Health Maintenance Organization Charlotte, NC

Practice location

Address: 5114 Providence Rd, Charlotte, NC 28226-5852
Phone: (704) 364-2485
Mailing address: 3001 Spring Forest Rd, Raleigh, NC 27616-2815

Authorised official

Name: Alison Starkey
Title: Physical Therapist
Phone: (704) 364-2485

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 7364 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1265749535
Entity type: Organization
NPI issued: 8 Sep 2010
Record last updated: 8 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.