Organization
LEGEND ELECTRONICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS EZEPUE (OWNER)
(216) 409-0670
Entity
Organization
Contact information
Practice address
20120 ARDWELL DR, EUCLID, OH 44123-1802
(216) 409-0670
Mailing address
20120 ARDWELL DR, EUCLID, OH 44123-1802
(121) 640-9067
(216) 744-7363
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377906
—
OH
Enumeration date
12/28/2020
Last updated
09/18/2022
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