Greenville I Enterprises LLC
NPI #1174897730 in Greenville, Texas
Provider Information
- NPI Number
- 1174897730
- Entity Type
- Organization
- Organization Name
- Greenville I Enterprises LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 29, 2012
- Last Updated
- Jul 9, 2012
Practice Location
- Address
- 3500 PARK ST
- City
- Greenville
- State
- Texas
- ZIP Code
- 75401-5159
- Phone
- (903) 455-2220
Authorized Official
- Name
- MR. GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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