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Legacy Outdoor Adventures Llc
Substance Abuse Rehabilitation Facility in Loa, Utah
NPI 1245509918

Legacy Outdoor Adventures Llc is a Substance Abuse Rehabilitation Facility based in Loa, UT. Legacy Outdoor Adventures Llc practices in Loa, UT. The NPI Number for Legacy Outdoor Adventures Llc is 1245509918 and holds a License No. (Utah).

The current practice location address for Legacy Outdoor Adventures Llc is 56 South Main Street, Loa, UT and can be reached out via phone at 435-836-2272 and via fax at 435-836-2274.

Location: 56 South Main Street, Loa, UT, 84747-0400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245509918
Provider Name
Legacy Outdoor Adventures Llc
Credential
Provider Entity Type
Organization
Address
56 South Main Street, Loa, UT, 84747-0400
Phone Number
435-836-2272
Fax Number
435-836-2274
Provider Enumeration Date
12/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
56 South Main Street
City
Loa
State
Utah
Zip
84747
Phone Number
435-836-2272
Fax Number
435-836-2274
person
Provider Business Mailing Address Details
Address
56 South Main Street
City
Loa
State
Utah
Zip
84747
Phone Number
435-836-2272
Fax Number
435-836-2274
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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