Leonard Manor Nursing and Rehabilitation, LP

Organization Active NPI Skilled Nursing Facility · Leonard, TX

NPI 1861997660 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1861997660
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
LEONARD MANOR NURSING AND REHABILITATION, LP
Practice address
902 E Hackberry St
Leonard, TX 75452-6318
Phone
(903) 587-2282
Fax
(903) 587-2594
NPI assigned
Mar 26, 2018
Organization subpart
No

Authorized official

Name
Dan D Flagg
Title
Ceo
Phone
(940) 387-4388

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

902 E Hackberry St
Leonard, TX 75452-6318

Mailing address

419 S Elm St
Denton, TX 76201-6085
Phone (940) 387-4388

Other identifiers

IdentifierTypeStateIssuer
389264801OtherTXTMHP CROSS OVER
001029406MedicaidTX

Other providers in Leonard, TX

All providers in Leonard, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.