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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X | |||
Assisted Living, Behavioral Disturbances |
3104A0630X |
| NPI # | 1407735095 |
| LBN Legal business name | LEGACY1864, LLC |
| Authorized official | RYAN KNUDSON - (CEO/PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/28/2025 |
| Last updated | 05/27/2026 - About 2 weeks ago |
| Identifiers | n/a |
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LEGACY1864, LLC