Legacy Treatment Center

LBN: Legacy Treatment Center
Legacy Treatment Center is an health care organization with primary practice located at 4421 Stuart Andrew Blvd Suite 608, Charlotte NC 28217-1589. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Legacy Treatment Center can be contacted via phone (561) 715-9288, or through Iacullo, Angela via phone (561) 715-9288.

Contact Information

Primary practice address
4421 Stuart Andrew Blvd Suite 608 Charlotte NC 28217-1589
Phone: (561) 715-9288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iacullo, Angela
Phone: (561) 715-9288

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1053758102
LBN Legal business name Legacy Treatment Center
DBA Doing business as
Authorized official Iacullo, Angela
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2013
Last updated Jul 11th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053758102 NPPES
North Carolina Other 130037 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

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