Legacy Lodge at Jackson Hole, Inc.
NPI #1760927453 in Jackson, Wyoming
Provider Information
- NPI Number
- 1760927453
- Entity Type
- Organization
- Organization Name
- Legacy Lodge at Jackson Hole, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 4, 2017
- Last Updated
- Jan 4, 2017
Practice Location
Authorized Official
- Name
- JASON HARNISCH
- Title
- VP OF FINANCE
- Phone
- (402) 753-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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