# LEGACY CARE CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sycamore Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114924529
- **Authorized official:** MS. CHERYL L KILLIAN (PRESIDENT)
- **Authorized official phone:** (817) 654-3042

## Contact information

- **Practice address:** 921 W CANNON ST, FORT WORTH, TX 76104-3026
- **Practice address phone:** (817) 332-9261
- **Practice address fax:** (817) 332-3035
- **Mailing address:** 3801 WOODSIDE DR, ARLINGTON, TX 76016-3030
- **Mailing address phone:** (817) 654-3042
- **Mailing address fax:** (817) 446-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112967 | TX | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4192 | — | TX |