Organization
SAFE HARBOR HOSPICE, LLC
Active
Other names
Legacy Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS C. BLAIR (CEO)
(052) 742-0028
Entity
Organization
Contact information
Practice address
733 W MAIN ST STE C, FREDERICKTOWN, MO 63645-1143
(573) 783-7625
(573) 783-2126
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
1076HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825025000
—
MO
Enumeration date
01/05/2007
Last updated
10/12/2025
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