Organization · Type 2 NPI
Legacy Life Enrichment LLC
Intellectual Disabilities Intermediate Care Facility · Gaston, SC
NPI number
1841103892
Active
Practice location
166 Woodcrest Ln
Gaston, SC 29053-9523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1841103892
Legacy Life Enrichment LLC's National Provider Identifier is 1841103892, issued on Sep 22, 2026. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gaston, SC. The record was last updated on Sep 22, 2026.