Organization
CUERO NURSING HOME INC
Active
Other names
Legacy Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE PITA (INSURANCE/MEDICARE)
(580) 622-6300
Entity
Organization
Contact information
Practice address
1010 MCARTHUR ST, CUERO, TX 77954-2317
(361) 277-6133
(361) 275-6169
Mailing address
1010 MCARTHUR ST, CUERO, TX 77954-2317
(361) 277-6133
(361) 275-6169
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113554
—
TX
Enumeration date
10/05/2005
Last updated
08/22/2020
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