Glen Rose I Enterprises, LLC

NPI #1114200805 in Glen Rose, Texas

Provider Information

NPI Number
1114200805
Entity Type
Organization
Organization Name
Glen Rose I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 20, 2011
Last Updated
Aug 30, 2021

Practice Location

Address
203 GIBBS BLVD
State
Texas
ZIP Code
76043-4309
Phone
(254) 897-7361

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8959

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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