Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Legend Oaks Healthcare and Rehabilitation Center Gladewater
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1201 FM 2685, GLADEWATER, TX 75647-8201
(903) 845-2175
(903) 844-2435
Mailing address
1201 FM 2685, GLADEWATER, TX 75647-8201
(903) 845-2175
(903) 844-2435
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028816
—
TX
Enumeration date
02/29/2016
Last updated
02/26/2021
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