| Legacy Community Solutions Incorporated | |
|
4100 S Hospital Dr Ste 100 Plantation FL 33317-2831 | |
| (954) 769-1055 | |
| (954) 533-1739 |
| Full Name | Legacy Community Solutions Incorporated |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4100 S Hospital Dr Ste 100, Plantation, Florida |
| Authorized Official Name and Position | Leola Witherspoon (PRESIDENT) |
| Authorized Official Contact | 9542741053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Community Solutions Incorporated 4100 S Hospital Dr Ste 100 Plantation FL 33317-2831 Ph: (954) 769-1055 | Legacy Community Solutions Incorporated 4100 S Hospital Dr Ste 100 Plantation FL 33317-2831 Ph: (954) 769-1055 |
| NPI Number | 1275212573 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275212573 | NPI | - | NPPES |
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