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Organization

KENEDY MANOR NURSING HOME INC

Active
Other names
Legacy Living Centers
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE PITA (INSURANCE/MEDICARE)
(580) 622-6300
Entity
Organization

Contact information

Practice address
7882 S HIGHWAY 181, DRAWER E, KENEDY, TX 78119
(830) 583-9101
(830) 583-2962
Mailing address
7882 S HIGHWAY 181, DRAWER E, KENEDY, TX 78119-0930
(830) 583-9101
(830) 583-2962

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
115272
TX

Other

Enumeration date
10/04/2005
Last updated
11/07/2007
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