# LEGACY LIVING CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Worth Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598752495
- **Authorized official:** MS. MARIE LAWSON (ADMINISTRATOR)
- **Authorized official phone:** (817) 531-3707

## Contact information

- **Practice address:** 4900 E BERRY ST, FORT WORTH, TX 76105-4314
- **Practice address phone:** (817) 531-3707
- **Practice address fax:** (817) 536-1648
- **Mailing address:** 4900 E BERRY ST, FORT WORTH, TX 76105-4314
- **Mailing address phone:** (817) 531-3707
- **Mailing address fax:** (817) 536-1648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113559 | TX | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 08/22/2020