Moultrie I Enterprises, LLC
NPI #1881915338 in Moultrie, Georgia
Provider Information
- NPI Number
- 1881915338
- Entity Type
- Organization
- Organization Name
- Moultrie I Enterprises, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 18, 2010
- Last Updated
- Jun 18, 2010
Practice Location
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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