Legacy Case Management LLC

NPI #1427942556 in West Jordan, Utah

Provider Information

NPI Number: 1427942556
Entity Type: Organization
Organization Name: Legacy Case Management LLC
Primary Specialty: Case Management
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 5503 WEST 9000 SOUTH
Address 2: APT B201
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	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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