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Organization

LEGENDZ ENTERPRIZE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATONIA T WALLACE (CEO)
(740) 732-5354
Entity
Organization

Contact information

Practice address
6218 LAMPTON POND DR, HILLIARD, OH 43026-7188
(614) 769-1422
Mailing address
577 STABLE ST, PATASKALA, OH 43062-7066
(740) 325-3544

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347E00000X
Transportation Broker
Primary

Other

Enumeration date
09/13/2023
Last updated
08/28/2024
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