Provider Demographics
NPI:1124197348
Name:LEGACY LINK, INC
Entity Type:Organization
Organization Name:LEGACY LINK, INC
Other - Org Name:AREA AGENCY ON AGING
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-538-2650
Mailing Address - Street 1:508 OAK ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3576
Mailing Address - Country:US
Mailing Address - Phone:770-538-2650
Mailing Address - Fax:770-538-2660
Practice Address - Street 1:508 OAK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3576
Practice Address - Country:US
Practice Address - Phone:770-538-2650
Practice Address - Fax:770-538-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage