Legend Oaks - San Angelo, LLC
Skilled Nursing Facility in San Angelo, TX. Organization (NPI-2).
NPI number1720003536
StatusActive
Last updated in NPPESOct 12, 2007
Details
- NPI
- 1720003536
- Entity type
- Organization (NPI-2)
- Legal business name
- Legend Oaks - San Angelo, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Oct 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 5472 | TX | Yes |
Practice location
5455 Knickerbocker RdSan Angelo, TX 76904-7711
Phone 325-944-1600 · Fax 325-944-1660
Mailing address
5455 Knickerbocker RdSan Angelo, TX 76904-7711
Phone 325-944-1600 · Fax 325-944-1660
Authorized official
Martin Tomerlin
President
2105640100
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