| NPI | 1215404330 |
|---|---|
| Doing Business As | LEGACY NURSING AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | VICTOR DEVIN GUM Manager 225-800-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-11-29 |