Provider Demographics
NPI:1336966944
Name:THE LEGACY CENTER INC
Entity type:Organization
Organization Name:THE LEGACY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:MONET
Authorized Official - Last Name:SAINTJONES
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:256-777-4224
Mailing Address - Street 1:415 CHURCH ST NW STE 100A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5594
Mailing Address - Country:US
Mailing Address - Phone:256-777-4224
Mailing Address - Fax:
Practice Address - Street 1:415 CHURCH ST NW STE 100A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5594
Practice Address - Country:US
Practice Address - Phone:256-777-4224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)