NPI
Legendary Snf Opco LLC
Doing business as Legendary Health Care Center. Phone (660) 886-2247 · Fax (660) 886-2202 · NPI 1174459671
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2026-06-22
- Last updated
- 2026-06-22
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 809 E Gordon St
- City
- Marshall MO
- Postal code
- 65340-2811
- Phone
- (660) 886-2247
- Fax
- (660) 886-2202
Organization contact
- Name
- Nicholas Destefane
- Title
- President
- Phone
- (314) 543-3800
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Skilled Nursing Facility providers in Marshall, MO. 7 with this primary taxonomy in the public file.
Other NPIs in Marshall, MO. 315 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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