San Angelo II Enterprises, LLC
NPI #1427741206 in San Angelo, Texas
Provider Information
- NPI Number
- 1427741206
- Entity Type
- Organization
- Organization Name
- San Angelo II Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 1915 GREENWOOD ST
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76901-1112
- Phone
- (325) 942-0677
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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