Organization
LEGENDARY NURSING & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE YOUNG (DIRECTOR OF OPERATIONS)
(573) 225-0947
Entity
Organization
Contact information
Practice address
809 E GORDON ST, MARSHALL, MO 65340-2811
(660) 886-2247
(660) 886-8412
Mailing address
950 FALCON DRIVE, MALDEN, MO 63863
(573) 225-0947
(573) 357-5108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103404406
—
MO
Enumeration date
04/12/2019
Last updated
07/14/2022
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