# COLLEGE STATION II ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lampstand Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295377067
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 2001 E 29TH ST, BRYAN, TX 77802-1954
- **Practice address phone:** (979) 822-6611
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
- **Mailing address phone:** (817) 348-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2019
- **Last updated:** 06/12/2024