# LEGENDZ ENTERPRIZE LLC

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

## Provider details

- **NPI number:** 1598542425
- **Authorized official:** LATONIA T WALLACE (CEO)
- **Authorized official phone:** (740) 732-5354

## Contact information

- **Practice address:** 6218 LAMPTON POND DR, HILLIARD, OH 43026-7188
- **Practice address phone:** (614) 769-1422
- **Mailing address:** 577 STABLE ST, PATASKALA, OH 43062-7066
- **Mailing address phone:** (740) 325-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 08/28/2024
