# ROCKDALE BLACKHHAWK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little River Healthcare - Cornerstone Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144679028
- **Authorized official:** PEGGY BORGFELD (COO)
- **Authorized official phone:** (512) 446-4500

## Contact information

- **Practice address:** 6600 FISH POND RD, SUITE 202A, WACO, TX 76710-2581
- **Practice address phone:** (254) 265-7300
- **Mailing address:** PO BOX 1010, ROCKDALE, TX 76567-1010
- **Mailing address phone:** (512) 446-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2016
- **Last updated:** 06/10/2016