Organization
LEGEND OAKS - SAN ANGELO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 944-1600
(325) 944-1660
Mailing address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 944-1600
(325) 944-1660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5472
TX
Other
Enumeration date
07/13/2006
Last updated
10/12/2007
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