# LEGEND OAKS - WEST SAN ANTONIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legend Oaks Healthcare and Rehabilitation - West San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609164441
- **Authorized official:** MARTIN TOMERLIN (PRESIDENT/COO)
- **Authorized official phone:** (210) 564-0100

## Contact information

- **Practice address:** 222 BERTETTI, SAN ANTONIO, TX 78227
- **Practice address phone:** (240) 564-0100
- **Practice address fax:** (210) 564-0157
- **Mailing address:** 1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914
- **Mailing address phone:** (240) 564-0100
- **Mailing address fax:** (210) 564-0157

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 03/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019889 | — | TX |