# THE LEGACY MIDTOWN PARK, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013546118
- **Authorized official:** TERRY PURCHAL (CFO)
- **Authorized official phone:** (972) 468-6176

## Contact information

- **Practice address:** 8280 MANDERVILLE LANE, DALLAS, TX 75231
- **Practice address phone:** (214) 379-6700
- **Mailing address:** 6101 OHIO DR STE 100, PLANO, TX 75024-2722
- **Mailing address phone:** (972) 468-6176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2020
- **Last updated:** 08/10/2020