Odessa I Enterprises, LLC

NPI #1770143521 in Odessa, Texas

Provider Information

NPI Number
1770143521
Entity Type
Organization
Organization Name
Odessa I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 14, 2019
Last Updated
Jun 14, 2019

Practice Location

Address
3800 ENGLEWOOD LN
City
Odessa
State
Texas
ZIP Code
79762-7073
Phone
(432) 362-2583

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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