Organization
LEGENDS OF LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMAR GLENN (OWNER)
(202) 746-8401
Entity
Organization
Contact information
Practice address
1629 K ST NW, WASHINGTON, DC 20006-1602
(202) 746-8401
Mailing address
1629 K ST NW, WASHINGTON, DC 20006-1602
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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