# LEGACY THERAPY CENTER, INC.

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

## Provider details

- **NPI number:** 1275764870
- **Authorized official:** MR. AMBROSE HERNANDEZ (CEO/OWNER)
- **Authorized official phone:** (361) 855-0848

## Contact information

- **Practice address:** 5633 S. STAPLES STREET, SUITE 400 & 500, CORPUS CHRISTI, TX 78466-1140
- **Practice address phone:** (361) 855-1352
- **Practice address fax:** (361) 855-1254
- **Mailing address:** P.O. BOX 61140, CORPUS CHRISTI, TX 78466-1140
- **Mailing address phone:** (361) 855-1352
- **Mailing address fax:** (361) 855-1254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | TX | — |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 01/14/2011