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Legacy Lodge At Jackson Hole, Inc.
Assisted Living Facility in Jackson, Wyoming
NPI 1760927453

Legacy Lodge At Jackson Hole, Inc. is an Assisted Living Facility based in Fremont, WY. Legacy Lodge At Jackson Hole, Inc. practices in Jackson, WY. The NPI Number for Legacy Lodge At Jackson Hole, Inc. is 1760927453 and holds a License No. (Wyoming).

The current practice location address for Legacy Lodge At Jackson Hole, Inc. is 3000 W Big Trail Dr, Jackson, WY and can be reached out via phone at 307-734-0500.

Location: 3000 W Big Trail Dr, Jackson, WY, 68025-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760927453
Provider Name
Legacy Lodge At Jackson Hole, Inc.
Credential
Provider Entity Type
Organization
Address
3000 W Big Trail Dr, Jackson, WY, 68025-2515
Phone Number
307-734-0500
Fax Number
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 WY
institution
Provider Business Practice Location Address Details
Address
3000 W Big Trail Dr
City
Jackson
State
Wyoming
Zip
83001-9138
Phone Number
307-734-0500
Fax Number
person
Provider Business Mailing Address Details
Address
3000 W Big Trail Dr
City
Jackson
State
Wyoming
Zip
83001-9138
Phone Number
307-734-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Wyoming)
Definition
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.
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