Organization
LEGEND OAKS - SOUTH SAN ANTONIO, LLC
Active
Other names
Legend Oaks Healthcare and Rehabilitation Center - San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
2003 W. HUTCHINS PL, SAN ANTONIO, TX 78224-1368
(210) 927-0827
(210) 927-0806
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
5487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014458
—
TX
Enumeration date
07/25/2006
Last updated
03/26/2015
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