# LEGACY TREATMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437602497
- **Authorized official:** MELINDA OTA (ACTING CFO)
- **Authorized official phone:** (609) 267-5656

## Contact information

- **Practice address:** 1289 ROUTE 38 WEST, SUITE \#203, HAINESPORT, NJ 08036-2720
- **Practice address phone:** (609) 288-3126
- **Practice address fax:** (609) 265-1895
- **Mailing address:** 1289 ROUTE 38 WEST, SUITE \#203, HAINESPORT, NJ 08036-2720
- **Mailing address phone:** (609) 288-3126
- **Mailing address fax:** (609) 265-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NJ | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 08/05/2016