| Legacy Healthcare Services | |
| 
					15822 Clayton Rd Ellisville MO 63011-2212  | |
| (636) 220-1681 | |
| (314) 200-4636 | 
| Full Name | Legacy Healthcare Services | 
|---|---|
| Speciality | Clinic/center | 
| Location | 15822 Clayton Rd, Ellisville, Missouri | 
| Authorized Official Name and Position | Kelly Ann Fiala (OT/REHAB DIRECTOR) | 
| Authorized Official Contact | 6364482881 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Legacy Healthcare Services 15822 Clayton Rd Ellisville MO 63011-2212 Ph: (636) 220-1681  | Legacy Healthcare Services 15822 Clayton Rd Ellisville MO 63011-2212 Ph: (636) 220-1681  | 
| NPI Number | 1699131573 | 
|---|---|
| Provider Enumeration Date | 01/08/2016 | 
| Last Update Date | 01/08/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699131573 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | 2005028265 (Missouri) | Primary | 
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