| NPI | 1265086979 |
|---|---|
| Doing Business As | LEGACY NURSING & REHABILITATION OF TALLULAH |
| Entity Type | Organization |
| Authorized Contact | DEVIN GUM Managing Member 225-800-4954 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |