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Organization
LEGACY EMPOWERMENT SERVICES LLC
Active
Organization
LEGACY EMPOWERMENT SERVICES LLC
Active
Other names
Legacy Life Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA MARTINEZ PEREZ (FOUNDER/CEO)
(732) 523-0769
Entity
Organization
Contact information
Practice address
110 FIELDCREST AVE, 3RD FLOOR, EDISON, NJ 08837
(732) 523-0769
Mailing address
110 FIELDCREST AVE, 3RD FLOOR,, EDISON, NJ 08837
(732) 523-0769
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
Other
Enumeration date
06/14/2022
Last updated
05/16/2025
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