National Provider Identifier Database

LEGACY OUTDOOR ADVENTURES LLC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

LEGACY OUTDOOR ADVENTURES LLC
56 SOUTH MAIN STREET
LOA, UT84747
Phone: 435-836-2272
Fax: 435-836-2274
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LEGACY OUTDOOR ADVENTURES LLC

NPI Number 1245509918
Legal business name
LBN
LEGACY OUTDOOR ADVENTURES LLC
Authorized official GILBERT HALLOWS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/23/2011
Last updated 12/23/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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