Organization
LEGACY CARE CENTERS, INC.
Active
Other names
Sycamore Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL L KILLIAN (PRESIDENT)
(817) 654-3042
Entity
Organization
Contact information
Practice address
921 W CANNON ST, FORT WORTH, TX 76104-3026
(817) 332-9261
(817) 332-3035
Mailing address
3801 WOODSIDE DR, ARLINGTON, TX 76016-3030
(817) 654-3042
(817) 446-3666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4192
—
TX
Enumeration date
06/30/2005
Last updated
08/22/2020
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