# BOB & NICK ENTERPRISES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eventide Nursing Home, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306922133
- **Authorized official:** MISS ENEDINA M DIAZ LNFA (ADMINISTRATOR)
- **Authorized official phone:** (325) 372-5112

## Contact information

- **Practice address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Practice address phone:** (325) 372-3675
- **Practice address fax:** (325) 372-5114
- **Mailing address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Mailing address phone:** (325) 372-3675
- **Mailing address fax:** (325) 372-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117694 | TX | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020