| Organization Name: | LEGACY HEALTH CARE, INC. |
| NPI Number: | 1831196328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEITH G GORDON (CEO/ADMINISTRATOR) |
| Mailing Address: | 3135 N Fairfield Rd Layton |
| State: | UT US |
| Postal Code: | 840418832 |
| Phone Number: | 8017719099 |
| Fax Number: | 8017710200 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2005-HOSPICE-55836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |