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Organization
COLLEGE STATION II ENTERPRISES, LLC
Active
Organization
COLLEGE STATION II ENTERPRISES, LLC
Active
Other names
Lampstand Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2001 E 29TH ST, BRYAN, TX 77802-1954
(979) 822-6611
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
06/12/2024
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