Groveton I Enterprises, LLC

NPI #1568612299 in Groveton, Texas

Provider Information

NPI Number
1568612299
Entity Type
Organization
Organization Name
Groveton I Enterprises, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 30, 2008
Last Updated
Sep 30, 2008

Practice Location

Address
1020 W 1ST STREET
State
Texas
ZIP Code
75845
Phone
(936) 642-1221

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8841

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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