Organization · Type 2 NPI
Legacy Assisted Living LLC
Assisted Living Facility · Chubbuck, ID
NPI number
1740189349
Active
Practice location
4850 Senator Way
Chubbuck, ID 83202
Mailing address
203 S Garfield Ave
Pocatello, ID 83204-3233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.
Other assisted living facility providers in Chubbuck
About NPI 1740189349
Legacy Assisted Living LLC's National Provider Identifier is 1740189349, issued on Nov 2, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Chubbuck, ID. The record was last updated on Nov 2, 2026.