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Leonard Manor Inc
Nursing Facility/Intermediate Care Facility in Leonard, Texas
NPI 1679569370

Leonard Manor Inc is a Nursing Facility/Intermediate Care Facility based in Leonard, TX. Leonard Manor Inc practices in Leonard, TX. The NPI Number for Leonard Manor Inc is 1679569370 and holds a License No. 112350 (Texas).

The current practice location address for Leonard Manor Inc is 902 E Hackberry St, Leonard, TX and can be reached out via phone at 903-587-2282 and via fax at 903-587-2594.

Location: 902 E Hackberry St, Leonard, TX, 75452-6318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679569370
Provider Name
Leonard Manor Inc
Credential
Provider Entity Type
Organization
Address
902 E Hackberry St, Leonard, TX, 75452-6318
Phone Number
903-587-2282
Fax Number
903-587-2594
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001012164 05 TX
1893166-01 01 TX TEXAS MEDICAID PART B
HH322S 01 TX BLUE CROSS BLUE SHIELD TX
institution
Provider Business Practice Location Address Details
Address
902 E Hackberry St
City
Leonard
State
Texas
Zip
75452-6318
Phone Number
903-587-2282
Fax Number
903-587-2594
person
Provider Business Mailing Address Details
Address
902 E Hackberry St
City
Leonard
State
Texas
Zip
75452-6318
Phone Number
903-587-2282
Fax Number
903-587-2594
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
112350 (Texas)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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