Organization
PURE LEGACY COMMUNITY CARE
Active
Other names
Pure Legacy Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
TEREA JAQUIL JONES (OWNER)
(856) 265-8312
Entity
Organization
Contact information
Practice address
1005 SHAR LANE BLVD, MILLVILLE, NJ 08332-3974
(856) 265-8312
Mailing address
1005 SHAR LANE BLVD, MILLVILLE, NJ 08332-3974
(856) 265-8312
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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