Organization
TALLULAH OPCO LLC
Active
Parent organization
LEGACY NURSING & REHABILITATION OF TALLULAH
Other names
LEGACY NURSING & REHABILITATION OF TALLULAH
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY NURSING & REHABILITATION OF TALLULAH
Authorized official
DEVIN GUM (MANAGING MEMBER)
(225) 800-4954
Entity
Organization
Contact information
Practice address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 434-6023
Mailing address
8675 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70810-2976
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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