# LEGEND HEALTHCARE GAINESVILLE, LP

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

## Provider details

- **NPI number:** 1386745313
- **Authorized official:** MARTIN TOMERLIN (PRESIDENT)
- **Authorized official phone:** (210) 564-0100

## Contact information

- **Practice address:** 1900 E CALIFORNIA ST, GAINESVILLE, TX 76240-4400
- **Practice address phone:** (210) 564-0100
- **Practice address fax:** (210) 564-0157
- **Mailing address:** 608 SANDAU RD, SAN ANTONIO, TX 78216-4131
- **Mailing address phone:** (210) 564-0100
- **Mailing address fax:** (210) 564-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5292 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020