Bandera I Enterprises, LLC

NPI #1487992418 in Bandera, Texas

Provider Information

NPI Number
1487992418
Entity Type
Organization
Organization Name
Bandera I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 25, 2013
Last Updated
Aug 30, 2021

Practice Location

Address
159 MONTAGUE AVE
State
Texas
ZIP Code
78003-0000
Phone
(830) 460-3767

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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