| NPI | 1730644121 |
|---|---|
| Doing Business As | LEGACY WEST REHABILITATION AND HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | RONALD PAYNE Authorized Officer 469-916-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |