| Organization Name: | LEGACY HOME MEDICAL |
| NPI Number: | 1386831873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AARON DENNIS WADE (PRESIDENT) |
| Mailing Address: | 360 S Fort Ln Suite 2-a Layton |
| State: | UT US |
| Postal Code: | 840414259 |
| Phone Number: | 8014160997 |
| Fax Number: | 8664688194 |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 06/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | J16933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |