Organization
EASTLAND MEMORIAL HOSPITAL DISTRICT
Active
Other names
Legend Oaks Healthcare and Rehabilitation-Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4240 GOLDEN TRIANGLE BOULEVARD, FORT WORTH, TX 76244
(817) 380-6400
(817) 380-6405
Mailing address
27101 PUERTA REAL, SUITE 450, MISSION VIEJO, CA 92691-8518
(817) 380-6400
(817) 380-6405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
09/07/2016
Last updated
02/26/2021
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