# LEGACY ACTIVE LIVING RETIREMENT COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952510018
- **Authorized official:** MR. JIM HUNTER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 341-0911

## Contact information

- **Practice address:** 15 SILVERCREST PL, IOWA CITY, IA 52240-2951
- **Practice address phone:** (319) 338-4404
- **Mailing address:** 1020 S SCOTT BLVD, IOWA CITY, IA 52240-2944
- **Mailing address phone:** (319) 341-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | S0163 | IA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0280875 | — | IA |
