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Organization

BRYAN OPCO LLC

Active
Other names
Legacy Nursing and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR DEVIN GUM (MANAGER)
(225) 800-4954
Entity
Organization

Contact information

Practice address
2817 KENT ST, BRYAN, TX 77802-5214
(979) 776-7521
(979) 774-0161
Mailing address
2431 S ACADIAN THRUWAY STE 100, BATON ROUGE, LA 70808-2300
(225) 800-4954
(225) 308-2278

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/26/2018
Last updated
11/29/2023
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