Legend Oaks - San Angelo, LLC
NPI #1720003536 in San Angelo, Texas
Provider Information
- NPI Number
- 1720003536
- Entity Type
- Organization
- Organization Name
- Legend Oaks - San Angelo, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Oct 12, 2007
Practice Location
- Address
- 5455 KNICKERBOCKER RD
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-7711
- Phone
- (325) 944-1600
Authorized Official
- Name
- MARTIN TOMERLIN
- Title
- PRESIDENT
- Phone
- (210) 564-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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