Legacy Healthcare Corporation
NPI #1780737692 in Madisonville, Texas
Provider Information
- NPI Number
- 1780737692
- Entity Type
- Organization
- Organization Name
- Legacy Healthcare Corporation
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Jul 8, 2008
Practice Location
- Address
- 600 BACON ST
- City
- Madisonville
- State
- Texas
- ZIP Code
- 77864-2511
- Phone
- (936) 348-9097
Authorized Official
- Name
- DOUGLAS K MITTLEIDER
- Title
- PRESIDENT OF MANAGEMENT COMPANY
- Phone
- (770) 619-0866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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