Organization
LEGENDS PARK COMMUNITY HEALTHCARE LLC
Active
Other names
Legends Park Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(801) 447-9829
Entity
Organization
Contact information
Practice address
1820 N LEGENDS PKWY, COEUR D ALENE, ID 83815-8257
(208) 666-9900
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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