Legacy Home Assisted Living

NPI #1750588851 in Thayne, Wyoming

Provider Information

NPI Number
1750588851
Entity Type
Organization
Organization Name
Legacy Home Assisted Living
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 2, 2007
Last Updated
Sep 17, 2007

Practice Location

Address
2391 MUDDY STRING CO. ROAD 122
City
Thayne
State
Wyoming
ZIP Code
83127
Phone
(307) 883-3800

Authorized Official

Name
EILEEN MERRITT
Title
OWNER MANGER
Phone
(307) 883-3800

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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