Eagle Pass I Enterprises, LLC
NPI #1225309172 in Eagle Pass, Texas
Provider Information
- NPI Number
- 1225309172
- Entity Type
- Organization
- Organization Name
- Eagle Pass I Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 24, 2012
- Last Updated
- Aug 30, 2021
Practice Location
- Address
- 2550 ZACATECAS DR
- City
- Eagle Pass
- State
- Texas
- ZIP Code
- 78852-4129
- Phone
- (830) 773-4488
Authorized Official
- Name
- MR. GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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