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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 (CEO)
(732) 523-0679
Entity
Organization
Contact information
Practice address
110 FIELDCREST AVE, FLOOR 3, EDISON, NJ 08837
(732) 523-0759
(848) 228-3053
Mailing address
110 FIELDCREST AVE STE 3, EDISON, NJ 08837-3648
(732) 523-0769
(848) 228-3053
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
07/08/2025
Last updated
07/28/2025
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