Provider Demographics
NPI:1730713991
Name:LETSCARE SERVICES LLC
Entity type:Organization
Organization Name:LETSCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAKOBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-763-7427
Mailing Address - Street 1:6 STARLIGHT CT
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-3168
Mailing Address - Country:US
Mailing Address - Phone:732-763-7427
Mailing Address - Fax:
Practice Address - Street 1:6 STARLIGHT CT
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-3168
Practice Address - Country:US
Practice Address - Phone:732-763-7427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities