Legacy Village Healthcare LLC
NPI #1881866499 in Taylorsville, Utah
Provider Information
- NPI Number
- 1881866499
- Entity Type
- Organization
- Organization Name
- Legacy Village Healthcare LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WESTERN STATES LODGING
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 24, 2008
- Last Updated
- Apr 22, 2015
Practice Location
- Address
- 5472 S 3200 W
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84129-7804
- Phone
- (801) 269-0700
Authorized Official
- Name
- MR. PAUL C FAIRHOLM
- Title
- MANAGING MEMBER
- Phone
- (801) 269-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
| Skilled Nursing Facility |
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