Organization
LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Active
Other names
Legacy Pointe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HUNTER (EXECUTIVE DIRECTOR)
(319) 341-0911
Entity
Organization
Contact information
Practice address
1020 S SCOTT BLVD, IOWA CITY, IA 52240-2944
(319) 341-0911
Mailing address
1020 SOUTH SCOTT BLVD, IOWA CITY, IA 52240
(319) 341-0911
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0116
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277046
—
IA
Enumeration date
06/06/2007
Last updated
08/22/2020
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