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
- City
- Stephenville
- 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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