# EASTLAND MEMORIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legend Oaks Healthcare and Rehabilitation-Fort Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669929642
- **Authorized official:** SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 4240 GOLDEN TRIANGLE BOULEVARD, FORT WORTH, TX 76244
- **Practice address phone:** (817) 380-6400
- **Practice address fax:** (817) 380-6405
- **Mailing address:** 27101 PUERTA REAL, SUITE 450, MISSION VIEJO, CA 92691-8518
- **Mailing address phone:** (817) 380-6400
- **Mailing address fax:** (817) 380-6405

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 02/26/2021