Legacy1864, LLC
NPI #1407735095 in Spokane, Washington
Provider Information
- NPI Number
- 1407735095
- Entity Type
- Organization
- Organization Name
- Legacy1864, LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Aug 28, 2025
- Last Updated
- Aug 28, 2025
Practice Location
- Address
- 1620 E MEAD ST
- City
- Spokane
- State
- Washington
- ZIP Code
- 99218-1772
- Phone
- (509) 467-1135
Authorized Official
- Name
- RYAN KNUDSON
- Title
- CEO/PRESIDENT
- Phone
- (509) 954-6919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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