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Organization
LEGACY HOME ASSISTED LIVING
Active
Organization
LEGACY HOME ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MERRITT (OWNER MANGER)
(307) 883-3800
Entity
Organization
Contact information
Practice address
2391 MUDDY STRING CO. ROAD 122, THAYNE, WY 83127
(307) 883-3800
Mailing address
2391 MUDDY STRING CO. ROAD 122, THAYNE, WY 83127
(307) 883-3800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
07/02/2007
Last updated
09/17/2007
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