San Angelo I Enterprises, LLC

NPI #1265125041 in San Angelo, Texas

Provider Information

NPI Number
1265125041
Entity Type
Organization
Organization Name
San Angelo I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 30, 2023
Last Updated
May 30, 2023

Practice Location

Address
2210 HOWARD ST
State
Texas
ZIP Code
76901-1318
Phone
(325) 944-0561

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8959

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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