Organization
LEGACY EMPOWERMENT SERVICES LLC
Active
Other names
Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA WHITE (COO)
(732) 523-0769
Entity
Organization
Contact information
Practice address
110 FIELDCREST AVE STE 3, EDISON, NJ 08837-3648
(732) 523-0769
(848) 228-3148
Mailing address
110 FIELDCREST AVE STE 3, EDISON, NJ 08837-3648
(732) 523-0769
(848) 228-3148
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
12/07/2023
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