Legacy Center LLC
NPI #1679798300 in Canon City, Colorado
Provider Information
- NPI Number
- 1679798300
- Entity Type
- Organization
- Organization Name
- Legacy Center LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1335 BAUER LN
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4670
- Phone
- (719) 275-2917
Authorized Official
- Name
- MR. DENNIS PRATHER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (719) 275-2917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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