Legacy II Incorporated

NPI #1992955660 in Waldorf, Maryland

Provider Information

NPI Number: 1992955660
Entity Type: Organization
Organization Name: Legacy II Incorporated
Primary Specialty: Private Vehicle
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 3195 OLD WASHINGTON RD
City: Waldorf
State: Maryland
ZIP Code: 20602-3201
Phone: (301) 645-5466

Authorized Official

Name: MR. JOHNNIE EARL LOVEDAY JR.
Title: CEO
Phone: (301) 645-5466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Bus	347B00000X
Private Vehicle	347C00000X	Primary

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