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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEGACY VILLAGE OUTPATIENT ID, LLC

Active Organization

LEGACY VILLAGE OUTPATIENT ID, LLC is a Substance Abuse Rehabilitation Facility organization located in BOISE, Idaho. NPI 1225721707 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · BOISE, ID

Registration Details

NPI Number
1225721707
Provider Type
Organization
NPI Issued
May 31, 2023 (3.2150223813679 yrs)
Last Updated
May 31, 2023

Practice Information

Address
800 W MAIN ST STE 1460
BOISE, ID, 837025983
Browse ID providers · Browse ZIP 83702
Phone
8009976977
Fax
6614890573
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.