Organization
LEGEND HEALTHCARE EULESS, LP
Active
Other names
Legend Healthcare and Rehab - Euless
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
900 WESTPARK WAY, EULESS, TX 76040-3977
(817) 545-4071
(817) 684-8341
Mailing address
1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914
(210) 564-0100
(210) 564-0157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012869
—
TX
Enumeration date
09/25/2006
Last updated
03/25/2015
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