Organization
WINNSBORO OPCO LLC
Active
Other names
LEGACY NURSING AND REHABILITATION OF WINNSBORO
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DEVIN GUM (MANAGER)
(225) 800-4954
Entity
Organization
Contact information
Practice address
804 POLK ST, WINNSBORO, LA 71295-2350
(318) 435-6116
(318) 435-3993
Mailing address
8675 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70810-2976
(225) 800-4954
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/23/2019
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