| Legacy Living Supports | |
|
9039 Constant Crse Columbia MD 21046-1776 | |
| (443) 766-6265 | |
| Not Available |
| Full Name | Legacy Living Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9039 Constant Crse, Columbia, Maryland |
| Authorized Official Name and Position | Marquise Rotia Boone (OWER) |
| Authorized Official Contact | 3013952934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Living Supports 9039 Constant Crse Columbia MD 21046-1776 Ph: (301) 395-2934 | Legacy Living Supports 9039 Constant Crse Columbia MD 21046-1776 Ph: (443) 766-6265 |
| NPI Number | 1699610576 |
|---|---|
| Provider Enumeration Date | 04/20/2026 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699610576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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