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Legacy Outdoor Adventures Llc

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NPI Number Detailed Information

Provider Information:

Name: Legacy Outdoor Adventures Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1245509918
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 12/23/2011

Last Update Date: 12/23/2011

Provider Business Mailing Address:

Address: PO BOX 400
Loa, UT 84747
Phone Number: 4358362272
Fax Number: 4358362274

Provider Business Practice Location Address:

Address: 56 SOUTH MAIN STREET
Loa, UT 84747
Phone Number: 4358362272
Fax Number: 4358362274

Provider Taxonomy:

Primary: 324500000X
Secondary (if any):
State: UT

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About Legacy Outdoor Adventures Llc

Legacy Outdoor Adventures Llc ( LEGACY OUTDOOR ADVENTURES LLC ) is A Substance Abuse Rehabilitation Facility Provider in Loa, UT. The NPI Number for Legacy Outdoor Adventures Llc is 1245509918.
The current location address for Legacy Outdoor Adventures Llc is 56 SOUTH MAIN STREET Loa, UT 84747 and the contact number is 4358362272 and fax number is 4358362274. The mailing address for Legacy Outdoor Adventures Llc is PO BOX 400 Loa, UT 84747- 4358362272 (mailing address contact number - 4358362272).
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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FAQs:

What is the NPI Number for Legacy Outdoor Adventures Llc ?


Answer: The NPI Number for Legacy Outdoor Adventures Llc is 1245509918

Where is Legacy Outdoor Adventures Llc located?


Answer: Legacy Outdoor Adventures Llc is located at 56 SOUTH MAIN STREET Loa, UT 84747.

What is the specialty for Legacy Outdoor Adventures Llc ?


Answer: The Specialty of Legacy Outdoor Adventures Llc is A Substance Abuse Rehabilitation Facility Provider.

Are there any online reviews for Legacy Outdoor Adventures Llc ?


Answer: Not yet!

Are there any other health care providers in Loa, UT?


Answer: Yes, there are given below...

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Mr. Troy Jonathan Faddis
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NPI Number: 1861608416
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Robert Michael Peyton
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Ashlie Marie Harris
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NPI Number: 1750576591
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Ms. Raylynne J Cooper
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Mr. Scott Andrew Peterson
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Passages To Recovery
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Legacy Outdoor Adventures Llc
Substance Abuse Rehabilitation Facility
NPI Number: 1245509918
Address: 56 SOUTH MAIN STREET Loa, UT 84747 , Phone: 4358362272
Stephen Kern
Clinical Social Worker
NPI Number: 1336407568
Address: 1764 WEST ASPEN LANE Loa, UT 84747 , Phone: 4358362272
Devon Christopher Nanton
Addiction (Substance Use Disorder) Counselor
NPI Number: 1023354578
Address: 92 W. MAIN ST Loa, UT 84747 , Phone: 4358362272
Mr. Michael Edgar Porter
Addiction (Substance Use Disorder) Counselor
NPI Number: 1023358694
Address: 57 SOUTH MAIN Loa, UT 84747 , Phone: 4356243304
Michael Steven Petree
Mental Health Counselor
NPI Number: 1154767432
Address: 56 SOUTH MAIN STREET Loa, UT 84747 , Phone: 4358362273
Mr. Michael Andrew Mills
Marriage & Family Therapist
NPI Number: 1669818704
Address: 56 SOUTH MAIN STREET Loa, UT 84747 , Phone: 4358362272

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