# KW LEGACY RANCH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063827749
- **Authorized official:** LUKE HATCH LCSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (775) 725-3900

## Contact information

- **Practice address:** 1760 SR 318, HIKO, NV 89017-2215
- **Practice address phone:** (775) 725-3900
- **Mailing address:** HC 61 BOX 87, HIKO, NV 89017-9635
- **Mailing address phone:** (775) 725-3900
- **Mailing address fax:** (775) 725-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NV | Yes |

## Other

- **Enumeration date:** 06/21/2014
- **Last updated:** 06/21/2014