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Organization
SLATON I ENTERPRISES, LLC
Active
Organization
SLATON I ENTERPRISES, LLC
Active
Other names
Slaton Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
630 S 19TH ST, SLATON, TX 79364-4714
(806) 828-6268
(806) 828-4141
Mailing address
630 S 19TH ST, SLATON, TX 79364-4714
(806) 828-6268
(806) 828-4141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016679
—
TX
01
—
004321
VENDOR
—
Enumeration date
12/18/2008
Last updated
08/30/2021
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