Goldthwaite I Enterprises, LLC
NPI #1205069101 in Goldthwaite, Texas
Provider Information
- NPI Number
- 1205069101
- Entity Type
- Organization
- Organization Name
- Goldthwaite I Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 26, 2009
- Last Updated
- Feb 25, 2015
Practice Location
- Address
- 1207 REYNOLDS ST
- City
- Goldthwaite
- State
- Texas
- ZIP Code
- 76844-2475
- Phone
- (325) 648-2258
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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