Legacy Health and Wellness, LLC

NPI #1003507500 in Las Vegas, Nevada

Provider Information

NPI Number: 1003507500
Entity Type: Organization
Organization Name: Legacy Health and Wellness, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LEGACY HEALTH AND WELLNESS, LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: May 16, 2023
Last Updated: Sep 20, 2023

Practice Location

Address: 2921 N TENAYA WAY STE 128
City: Las Vegas
State: Nevada
ZIP Code: 89128-1411
Phone: (702) 978-8000

Authorized Official

Name: ABBY GROSSA
Title: CFO
Phone: (702) 395-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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