Organization
LEGACY OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTI PRUZANSKY (DIRECTOR OF REVENUE MANAGEMENT)
(732) 330-2157
Entity
Organization
Contact information
Practice address
3310 N 50TH ST, FORT SMITH, AR 72904-4451
(732) 330-2157
Mailing address
175 ROUTE 70 STE 208, TOMS RIVER, NJ 08755-0954
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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