# BRYAN OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215404330
- **Authorized official:** VICTOR DEVIN GUM (MANAGER)
- **Authorized official phone:** (225) 800-4954

## Contact information

- **Practice address:** 2817 KENT ST, BRYAN, TX 77802-5214
- **Practice address phone:** (979) 776-7521
- **Practice address fax:** (979) 774-0161
- **Mailing address:** 2431 S ACADIAN THRUWAY STE 100, BATON ROUGE, LA 70808-2300
- **Mailing address phone:** (225) 800-4954
- **Mailing address fax:** (225) 308-2278

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 11/29/2023