Organization · Type 2 NPI

Legacy1864, LLC

Assisted Living Facility · Spokane, WA

NPI number 1407735095 Active

Practice location

1620 E Mead St
Spokane, WA 99218-1772

Call (509) 467-1135 Map

Fax (509) 468-7906

Mailing address

PO Box 1438
Mead, WA 99021-1438

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1407735095

Legacy1864, LLC's National Provider Identifier is 1407735095, issued on Aug 28, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Spokane, WA. The record was last updated on May 27, 2026.