Kilgore I Enterprises, LLC

NPI #1992021661 in Kilgore, Texas

Provider Information

NPI Number
1992021661
Entity Type
Organization
Organization Name
Kilgore I Enterprises, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 20, 2010
Last Updated
Feb 25, 2015

Practice Location

Address
2700 S HENDERSON BLVD
State
Texas
ZIP Code
75662-4033
Phone
(903) 984-3511

Authorized Official

Name
GARY BLAKE
Title
MANAGING MEMBER
Phone
(817) 348-8841

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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