Organization
LEGACY HOSPICE LLC
Active
Other names
Legacy Hospice, Inc., Legacy Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK BLAIR PHD (CEO)
(205) 652-6167
Entity
Organization
Contact information
Practice address
203 1ST ST STE A, KENNETT, MO 63857-2052
(573) 888-4946
(573) 888-4040
Mailing address
PO BOX 2130, DAPHNE, AL 36526-2130
(205) 652-6167
(205) 742-0028
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826132102
—
MO
Enumeration date
03/28/2007
Last updated
10/12/2025
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