Organization
LEONA'S LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA C MURPHY LPN (MANAGER)
(252) 549-9909
Entity
Organization
Contact information
Practice address
8 MANAKIN PL, WILLINGBORO, NJ 08046-2903
(609) 900-5780
Mailing address
8 MANAKIN PL, WILLINGBORO, NJ 08046-2903
(252) 549-9909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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