The Legacy Foundations
NPI #1073479275 in West Jordan, Utah
Provider Information
- NPI Number
- 1073479275
- Entity Type
- Organization
- Organization Name
- The Legacy Foundations
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 31, 2025
- Last Updated
- Dec 31, 2025
Practice Location
- Address
- 5503 WEST 9000 SOUTH
- Address 2
- APT B 201
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84081
- Phone
- (801) 556-4037
Authorized Official
- Name
- TIP BOUNYASANE
- Title
- PRESIDENT
- Phone
- (801) 556-4037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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