Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Family Services

Organization Case Management Agency · NPI 1215473657

Legacy Family Services is a Case Management Agency in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
4

Practice location Address checks out

2205 Wide River Dr
Raleigh, NC 27614-7612
Phone: (919) 931-1634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence C006436 (NC)
Case Management Agency Taxonomy 251B00000X · Licence C006436 (NC)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence C006436 (NC)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence COO6436 (NC)

Record details

NPI number1215473657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keemia Shaw — Ceo · (919) 931-1634
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 9, 2017
Mailing address2205 Wide River Dr, Raleigh, NC 27614-7612

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