Provider Demographics
NPI:1265293864
Name:K & R LEGACY INVESTMENTS, LLC
Entity type:Organization
Organization Name:K & R LEGACY INVESTMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS HEAD OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KELVIN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:216-401-5944
Mailing Address - Street 1:11805 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2861
Mailing Address - Country:US
Mailing Address - Phone:216-401-5944
Mailing Address - Fax:
Practice Address - Street 1:11805 GRANGER RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2861
Practice Address - Country:US
Practice Address - Phone:216-401-5944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)