Marianne's Legacy Home, LLC

NPI #1801385505 in Sorrento, Florida

Provider Information

NPI Number: 1801385505
Entity Type: Organization
Organization Name: Marianne's Legacy Home, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 23515 VALDERAMA LN
City: Sorrento
State: Florida
ZIP Code: 32776-6937
Phone: (516) 902-7088

Authorized Official

Name: MS. CARTLYNE ALEXIS, RN
Title: CEO
Phone: (516) 902-7088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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