Mount Enterprise I, LLC
NPI #1932339207 in Mount Enterprise, Texas
Provider Information
- NPI Number
- 1932339207
- Entity Type
- Organization
- Organization Name
- Mount Enterprise I, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Jul 21, 2009
Practice Location
- Address
- 300 E RUSK ST
- City
- Mount Enterprise
- State
- Texas
- ZIP Code
- 75681-4035
- Phone
- (903) 822-3986
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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