| NPI | 1033772413 |
|---|---|
| Doing Business As | LEGACY AT JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | RONALD PAYNE President 469-916-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2019-04-21 |