# CORSICANA II ENTERPRISES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy at Corsicana Rehabilitation and Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336031731
- **Authorized official:** MR. GARY BLAKE (MANAGER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 3300 W 2ND AVE, CORSICANA, TX 75110-2412
- **Practice address phone:** (903) 874-5333
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
- **Mailing address phone:** (817) 386-8410

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 07/29/2025