| Organization Name: | LEGACY HOSPICE, L.L.C |
| NPI Number: | 1174683312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAMONA ELEANOR ULIBARRI (OPERATIONS MANAGER) |
| Mailing Address: | 2808 Hot Springs Boulevard Las Vegas |
| State: | NM US |
| Postal Code: | 877010670 |
| Phone Number: | 5054548099 |
| Fax Number: | 5054548094 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |