LEGACY VILLAGE HEALTHCARE LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

TAYLORSVILLE, UT

Licensed since

2008

Rate

—

Federal identifiers

NPI registry number1881866499

Agency details

Parent orgWESTERN STATES LODGING

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NamePAUL FAIRHOLM

TitleMANAGING MEMBER

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