Legacy Village Hq, LLC
Legacy Village Hq, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
800 W Main St Ste 1460Boise, ID 83702-5983
Phone: (800) 997-6977
Fax: (661) 489-0573
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1275225310 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dennis Farmer — Chief Executive Officer · (800) 997-6977 |
| NPI enumerated | May 25, 2023 |
| Last updated in NPPES | May 25, 2023 |
| Certification date | May 25, 2023 |
| Mailing address | 800 W Main St Ste 1460, Boise, ID 83702-5983 |
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