Desoto II Enterprises, LLC

NPI #1700635463 in Desoto, Texas

Provider Information

NPI Number
1700635463
Entity Type
Organization
Organization Name
Desoto II Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 15, 2024
Last Updated
May 15, 2024

Practice Location

Address
1101 N HAMPTON RD
City
Desoto
State
Texas
ZIP Code
75115-3951
Phone
(972) 223-3944

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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