Organization
LEXX ALT GALAXY LLC
Active
Parent organization
LEXX ALT GALAXY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXX ALT GALAXY LLC
Authorized official
TERRANCE NICHOLAS JORDAN (CHIEF EXECUTIVE OFFICER)
(513) 375-8257
Entity
Organization
Contact information
Practice address
1579 MEREDITH DR UNIT 10, CINCINNATI, OH 45231-3243
(513) 375-8257
Mailing address
1579 MEREDITH DR UNIT 10, CINCINNATI, OH 45231-3243
(513) 375-8257
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/30/2023
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