Provider Demographics
NPI:1508923087
Name:LE GRAND ASSOCIATES INC
Entity Type:Organization
Organization Name:LE GRAND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEGRAND
Authorized Official - Suffix:
Authorized Official - Credentials:BCO, BADO
Authorized Official - Phone:215-496-1307
Mailing Address - Street 1:590 REED RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3654
Mailing Address - Country:US
Mailing Address - Phone:215-496-1307
Mailing Address - Fax:215-496-1693
Practice Address - Street 1:4110 INDEPENDENCE DR
Practice Address - Street 2:SUITE #400
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2585
Practice Address - Country:US
Practice Address - Phone:610-769-4000
Practice Address - Fax:215-496-1693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA66611332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007149205 0002Medicaid
PA007149205 0002Medicaid