NPI 1174459671
Legendary Snf Opco LLC
Practice location
- Address
- 809 E Gordon St, Marshall, MO 65340-2811
- Phone
- (660) 886-2247
- Fax
- (660) 886-2202
- Mailing address
- 1869 Craig Park CT, Saint Louis, MO 63146-4122
Authorised official
- Name
- Nicholas Destefane
- Title
- President
- Phone
- (314) 543-3800
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1174459671
- Entity type
- Organization
- NPI issued
- 22 Jun 2026
- Record last updated
- 22 Jun 2026
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.