NPI 1376712067

Legacy Human Services, INC.

Organisation Adult Care Home Facility Louisburg, NC

Practice location

Address: 663 Moulton Rd Franklin County Group Home #1, Louisburg, NC 27549-7753
Phone: (919) 496-6377
Mailing address: PO Box 88, Henderson, NC 27536-0088

Authorised official

Name: Jacinta Johnson
Title: Executive Director
Phone: (252) 438-6700

Registered specialties (3)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence MHL-035-035 (NC)

Other Custodial Care Facility providers in North Carolina →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 7804378 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1376712067
Entity type: Organization
NPI issued: 27 Feb 2008
Record last updated: 10 Sep 2021

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.