| NPI | 1881866499 |
|---|---|
| Doing Business As | LEGACY VILLAGE FOR REHABILITATION & MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL C FAIRHOLM Managing Member 801-269-0700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT To Be Determined) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: UT To Be Determined) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2015-04-22 |