LEGENDARY SUPPORT COORDINATION
NPI 1629638838
Supports Brokerage in Woodbury Heights, NJ
About Legendary Support Coordination NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGENDARY SUPPORT COORDINATION (NPI 1629638838) is a healthcare organization registered as a supports brokerage in Woodbury Heights, New Jersey and active in the NPI registry since June 2019. The organization lists Kaseim Ezell, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Legendary Support Coordination's NPI number?
The NPI number for Legendary Support Coordination is 1629638838. It was assigned to this organization in the NPPES registry on June 19, 2019.
Where is Legendary Support Coordination located?
Legendary Support Coordination is located at 136 Queen Ave, Woodbury Heights, NJ 08097. The listed phone number is (215) 696-2300.
What is Legendary Support Coordination's specialty?
The primary specialty registered for this NPI is Supports Brokerage with taxonomy code 251X00000X.
When was this NPI record last updated?
The NPPES record for Legendary Support Coordination was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.