Throckmorton I Enterprises, LLC
NPI #1437409562 in Throckmorton, Texas
Provider Information
- NPI Number
- 1437409562
- Entity Type
- Organization
- Organization Name
- Throckmorton I Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 17, 2012
- Last Updated
- Sep 17, 2012
Practice Location
- Address
- 1000 N MINTER AVE
- City
- Throckmorton
- State
- Texas
- ZIP Code
- 76483-4900
- Phone
- (940) 849-2861
Authorized Official
- Name
- MR. GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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