Stephenville I Enterprises, LLC

NPI #1235460148 in Stephenville, Texas

Provider Information

NPI Number
1235460148
Entity Type
Organization
Organization Name
Stephenville I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 18, 2010
Last Updated
Jan 18, 2010

Practice Location

Address
2311 W WASHINGTON ST
State
Texas
ZIP Code
76401-3805
Phone
(254) 968-3313

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8841

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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