Provider Demographics
NPI:1326875782
Name:LEGS 4 LIFE, LLC.
Entity type:Organization
Organization Name:LEGS 4 LIFE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-629-0564
Mailing Address - Street 1:300 INDUSTRIAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-7328
Mailing Address - Country:US
Mailing Address - Phone:804-640-7716
Mailing Address - Fax:
Practice Address - Street 1:300 INDUSTRIAL PARK AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-7328
Practice Address - Country:US
Practice Address - Phone:804-640-7716
Practice Address - Fax:336-629-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies