Organization
LEGEND OAKS - AUSTIN, LLC
Active
Other names
Legend Oaks Healthcare and Rehabilitation - North Austin
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARTIN TOMERLIN (MANAGER)
(210) 564-0100
Entity
Organization
Contact information
Practice address
11020 DESSAU RD, AUSTIN, TX 78754-2053
(512) 873-2249
Mailing address
1390 E BITTERS RD, SAN ANTONIO, TX 78216-2914
(210) 564-0100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025645
—
TX
Enumeration date
01/08/2014
Last updated
03/25/2015
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