# LEGACY HEALTH AND REHAB LLC

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

## Provider details

- **NPI number:** 1265078521
- **Authorized official:** HOLLY BETH HOPKINS LNHA (ADMINISTRATOR)
- **Authorized official phone:** (931) 450-5150

## Contact information

- **Practice address:** 811 KEYLON ST, MANCHESTER, TN 37355-2413
- **Practice address phone:** (931) 952-3499
- **Mailing address:** 811 KEYLON ST, MANCHESTER, TN 37355-2413

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 01/18/2022