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Organization
TN SNF OPCO LLC
Active
Organization
TN SNF OPCO LLC
Active
Other names
Legacy Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MATT NUSSBAUM (MANAGER)
(212) 653-8730
Entity
Organization
Contact information
Practice address
811 KEYLON ST, MANCHESTER, TN 37355-2413
(931) 450-5150
(931) 450-5070
Mailing address
811 KEYLON ST, MANCHESTER, TN 37355-2413
(931) 450-5150
(931) 450-5070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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