Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Legend Healthcare and Rehabilitation - Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-2149
Entity
Organization
Contact information
Practice address
2300 JACK FINNEY BLVD, GREENVILLE, TX 75402-3763
(903) 455-7942
(903) 455-0472
Mailing address
2300 JACK FINNEY BLVD, GREENVILLE, TX 75402-3763
(903) 455-7942
(903) 455-0472
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028700
—
TX
Enumeration date
03/18/2016
Last updated
02/26/2021
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