Organization
LEGACY EMPOWERMENT SERVICES LLC
Active
Other names
Legacy Life Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA MARTINEZ PEREZ (CEO)
(732) 523-0679
Entity
Organization
Contact information
Practice address
110 FIELDCREST AVE, FLOOR 3, EDISON, NJ 08837
(732) 523-0759
(848) 228-3053
Mailing address
110 FIELDCREST AVE STE 3, EDISON, NJ 08837-3648
(732) 523-0769
(848) 228-3053
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/08/2025
Last updated
07/28/2025
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