# THE HERITAGE AT LEGACY OPERATING, LLC

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

## Provider details

- **NPI number:** 1801300892
- **Authorized official:** CHRISTINE SHUPE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 934-2999

## Contact information

- **Practice address:** 2961 S 169TH PLZ, OMAHA, NE 68130-2053
- **Practice address phone:** (402) 934-2999
- **Practice address fax:** (402) 800-3000
- **Mailing address:** 2961 S 169TH PLZ, OMAHA, NE 68130-2053
- **Mailing address phone:** (402) 934-2999
- **Mailing address fax:** (402) 800-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2017
- **Last updated:** 06/16/2018