Organization · Type 2 NPI
Legacy Lodge at Jackson Hole, Inc.
Assisted Living Facility · Jackson, WY
NPI number
1760927453
Active
Practice location
3000 W Big Trail Dr
Jackson, WY 83001-9138
Mailing address
2230 N Somers Ave
Fremont, NE 68025-2515
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.
3 other providers at this address
Other assisted living facility providers in Jackson
About NPI 1760927453
Legacy Lodge at Jackson Hole, Inc.'s National Provider Identifier is 1760927453, issued on Jan 4, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jackson, WY. The record was last updated on Jan 4, 2017.