Woodville I Enterprises, LLC

NPI #1134300072 in Woodville, Texas

Provider Information

NPI Number
1134300072
Entity Type
Organization
Organization Name
Woodville I Enterprises, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 20, 2007
Last Updated
Nov 20, 2007

Practice Location

Address
805 W DOGWOOD ST
State
Texas
ZIP Code
75979-4700
Phone
(409) 283-5678

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 832-3654

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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