| Organization Name: | LEGACY HOSPICE, INC |
| NPI Number: | 1033238233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BOBBY T WILLIAMS (CEO) |
| Mailing Address: | 607 Billington St # B Kennett |
| State: | MO US |
| Postal Code: | 638573215 |
| Phone Number: | 5738884946 |
| Fax Number: | 5738884040 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 133-3H0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |