Organization
A LEGACY OF LOVE EDUCATIONAL AND DEVELOPMENTAL SERVICES
Active
Organization
A LEGACY OF LOVE EDUCATIONAL AND DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SHANTEA DUPREE (DIRECTOR)
(862) 236-0456
Entity
Organization
Contact information
Practice address
27 THOMAS ST, BLOOMFIELD, NJ 07003-2327
(862) 236-0456
Mailing address
27 THOMAS ST, BLOOMFIELD, NJ 07003-2327
(862) 236-0456
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up