Individual
KATHY H LEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 BITTERFIELD DR, BALLWIN, MO 63011-4003
(636) 256-7501
(636) 386-0193
Mailing address
509 BITTERFIELD DR, BALLWIN, MO 63011-4003
(636) 256-7501
(636) 386-0193
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
MO
Other
Enumeration date
03/29/2007
Last updated
09/11/2025
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