Legacy Living
NPI #1063925303 in Baxter Springs, Kansas
Provider Information
- NPI Number
- 1063925303
- Entity Type
- Organization
- Organization Name
- Legacy Living
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 8, 2017
- Last Updated
- Nov 8, 2017
Practice Location
- Address
- 445 E 10TH ST
- City
- Baxter Springs
- State
- Kansas
- ZIP Code
- 66713-1614
- Phone
- (620) 856-2756
Authorized Official
- Name
- RANDY DUKE DOTSON
- Title
- OWNER/OPERATOR
- Phone
- (620) 387-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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