NPI 1760927453
Legacy Lodge at Jackson Hole, INC.
Practice location
- Address
- 3000 W Big Trail Dr, Jackson, WY 83001-9138
- Phone
- (307) 734-0500
- Mailing address
- 2230 N Somers Ave, Fremont, NE 68025-2515
Authorised official
- Name
- Jason Harnisch
- Title
- Vp of Finance
- Phone
- (402) 753-6101
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1760927453
- Entity type
- Organization
- NPI issued
- 4 Jan 2017
- Record last updated
- 4 Jan 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.