# TN SNF OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Health & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912819335
- **Authorized official:** MATT NUSSBAUM (MANAGER)
- **Authorized official phone:** (212) 653-8730

## Contact information

- **Practice address:** 811 KEYLON ST, MANCHESTER, TN 37355-2413
- **Practice address phone:** (931) 450-5150
- **Practice address fax:** (931) 450-5070
- **Mailing address:** 811 KEYLON ST, MANCHESTER, TN 37355-2413
- **Mailing address phone:** (931) 450-5150
- **Mailing address fax:** (931) 450-5070

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/21/2026