OrganizationLegachy HealthcareSkilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address1412 Westwood Ln, Wilkesboro, NC 28697-2615(336) 927-2053PECOS EnrollmentBased on the most recent information from CMS, provider Legachy Healthcare does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1578018446Provider TypeOrganizationFull NameLegachy HealthcareSubpartNoEnumeration Date8/22/2016Last Updated8/22/2016Contact InformationPractice LocationPractice Address1412 Westwood Ln, Wilkesboro, NC 28697-2615Phone(336) 927-2053FaxUnlisted FaxMailing LocationMailing Address1412 Westwood Ln, Wilkesboro, NC 28697-2615Phone(336) 927-2053FaxUnlisted FaxAuthorized OfficialNameStaley, Virginia B (Slp)Phone(336) 927-2053Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicense100002North Carolina