Eastland Memorial Hospital District
Skilled Nursing Facility in Fort Worth, TX. Organization (NPI-2).
NPI number1669929642
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1669929642
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastland Memorial Hospital District
- Organization subpart
- No
- Enumeration date
- Sep 7, 2016
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | TX | Yes |
Other names
- Legend Oaks Healthcare And Rehabilitation-Fort Worth (Doing Business As)
Practice location
4240 Golden Triangle BoulevardFort Worth, TX 76244
Phone 817-380-6400 · Fax 817-380-6405
Mailing address
27101 Puerta RealSuite 450
Mission Viejo, CA 92691-8518
Phone 817-380-6400 · Fax 817-380-6405
Authorized official
Soon Burnam
Treasurer Of Management Company
9495401249
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