NPI 1063925303

Legacy Living

Organisation Adult Care Home Facility Baxter Springs, KS

Practice location

Address: 445 E 10th St, Baxter Springs, KS 66713-1614
Phone: (620) 856-2756

Authorised official

Name: Randy Duke Dotson
Title: Owner/Operator
Phone: (620) 387-0005

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence B011004 (KS)

Other Custodial Care Facility providers in Kansas →

Registry record

NPI: 1063925303
Entity type: Organization
NPI issued: 8 Nov 2017
Record last updated: 8 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.