Organization
LEGEND HEALTHCARE GLADEWATER, LP
Active
Other names
Legend Oaks Healthcare and Rehab Ctr - Gladewater
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
1201 FM 2685, GLADEWATER, TX 75647
(903) 845-2175
(903) 844-2435
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
5326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012874
—
TX
Enumeration date
10/05/2006
Last updated
03/25/2015
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