Woodville II Enterprises, LLC

NPI #1871551622 in Woodville, Texas

Provider Information

NPI Number
1871551622
Entity Type
Organization
Organization Name
Woodville II Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 2, 2006
Last Updated
Aug 30, 2021

Practice Location

Address
647 US HIGHWAY 190 W
State
Texas
ZIP Code
75979-6758
Phone
(409) 283-8147

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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