Organization · Type 2 NPI
Legacy House LLC
Adult Care Home Facility · Indianola, IA
NPI number
1871640144
Active
Practice location
207 E Salem Ave
Indianola, IA 50125-2621
Mailing address
7740 Larabee St
Indianola, IA 50125-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 910498 (IA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1871640144
Legacy House LLC's National Provider Identifier is 1871640144, issued on Jan 5, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Indianola, IA. The record was last updated on Jan 30, 2013.