Organization
LERU MULTISERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARLENE LEGENDRE LMSW (CEO)
(516) 350-4760
Entity
Organization
Contact information
Practice address
70 BIRCH RD, AMITYVILLE, NY 11701-1004
(516) 350-4760
Mailing address
70 BIRCH RD, AMITYVILLE, NY 11701-1004
(516) 350-4760
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/01/2016
Last updated
05/01/2016
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