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
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