Organization
VIDOR MANOR INC
Active
Other names
Legacy Living Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE PITA (INSURANCE/MEDICARE)
(580) 622-6300
Entity
Organization
Contact information
Practice address
545 S DENVER ST, VIDOR, TX 77662-5009
(409) 769-4542
(409) 769-8212
Mailing address
545 S DENVER ST, VIDOR, TX 77662-5009
(409) 769-4542
(409) 769-8212
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
113626
TX
Other
Enumeration date
09/27/2005
Last updated
08/22/2020
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