Corsicana IV Enterprises, L.l.c.

NPI #1518859917 in Corsicana, Texas

Provider Information

NPI Number
1518859917
Entity Type
Organization
Organization Name
Corsicana IV Enterprises, L.l.c.
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 18, 2025
Last Updated
Jul 18, 2025

Practice Location

Address
3002 W 2ND AVE
State
Texas
ZIP Code
75110-2492
Phone
(903) 872-5130

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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