Organization
LEGACY TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA OTA (ACTING CFO)
(609) 267-5656
Entity
Organization
Contact information
Practice address
1289 ROUTE 38 WEST, SUITE #203, HAINESPORT, NJ 08036-2720
(609) 288-3126
(609) 265-1895
Mailing address
1289 ROUTE 38 WEST, SUITE #203, HAINESPORT, NJ 08036-2720
(609) 288-3126
(609) 265-1895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NJ
Other
Enumeration date
07/26/2016
Last updated
08/05/2016
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