Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legendary Support Coordination

Organization Supports Brokerage Agency · NPI 1629638838

Legendary Support Coordination is a Supports Brokerage Agency in Woodbury Heights, New Jersey. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

136 Queen Ave
Woodbury Heights, NJ 08097-1635
Phone: (215) 696-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X

Record details

NPI number1629638838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaseim Ezell — Co-Owner · (215) 696-2300
NPI enumeratedJune 19, 2019
Last updated in NPPESJune 19, 2019
Mailing address3908 Montella Cir, Collegeville, PA 19426-1217