| The Legacy Community Foundation, Inc. | |
|
1451 Black Rd Joliet IL 60435-3809 | |
| (630) 725-2320 | |
| Not Available |
| Full Name | The Legacy Community Foundation, Inc. |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 1451 Black Rd, Joliet, Illinois |
| Authorized Official Name and Position | Edward D. Whittaker (COO) |
| Authorized Official Contact | 6307282320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Legacy Community Foundation, Inc. 1451 Black Rd Joliet IL 60435-3809 Ph: (630) 725-2320 | The Legacy Community Foundation, Inc. 1451 Black Rd Joliet IL 60435-3809 Ph: (630) 725-2320 |
| NPI Number | 1891372546 |
|---|---|
| Provider Enumeration Date | 03/27/2021 |
| Last Update Date | 03/27/2021 |
| Certification Date | 03/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891372546 | NPI | - | NPPES |
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