NPI 1013546118

The Legacy Midtown Park, INC

Organisation Skilled Nursing Facility Dallas, TX

Practice location

Address: 8280 Manderville Lane, Dallas, TX 75231
Phone: (214) 379-6700
Mailing address: 6101 Ohio Dr STE 100, Plano, TX 75024-2722

Authorised official

Name: Terry Purchal
Title: Cfo
Phone: (972) 468-6176

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1013546118
Entity type: Organization
NPI issued: 2 Apr 2020
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.