Legendary Support Coordination

LBN: Legendary Support Coordination
Legendary Support Coordination is an health care organization with primary practice located at 136 Queen Ave , Woodbury Heights NJ 08097-1635. The organization recently has only one registered license in Agencies / Supports Brokerage, which is considered as the primary health care specialty. Legendary Support Coordination can be contacted via phone (215) 696-2300, or through Ezell, Kaseim via phone (215) 696-2300.

Contact Information

Primary practice address
136 Queen Ave Woodbury Heights NJ 08097-1635
Phone: (215) 696-2300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ezell, Kaseim
Phone: (215) 696-2300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1629638838
LBN Legal business name Legendary Support Coordination
DBA Doing business as
Authorized official Ezell, Kaseim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2019
Last updated Jun 19th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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