College Station I Enterprises, L.l.c.
NPI #1063054823 in College Station, Texas
Provider Information
- NPI Number
- 1063054823
- Entity Type
- Organization
- Organization Name
- College Station I Enterprises, L.l.c.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2019
- Last Updated
- Nov 8, 2024
Practice Location
- Address
- 1105 ROCK PRAIRIE RD
- City
- College Station
- State
- Texas
- ZIP Code
- 77845-8344
- Phone
- (979) 694-2200
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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