# SLATON I ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Slaton Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356587463
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 630 S 19TH ST, SLATON, TX 79364-4714
- **Practice address phone:** (806) 828-6268
- **Practice address fax:** (806) 828-4141
- **Mailing address:** 630 S 19TH ST, SLATON, TX 79364-4714
- **Mailing address phone:** (806) 828-6268
- **Mailing address fax:** (806) 828-4141

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2008
- **Last updated:** 08/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016679 | — | TX |
| 01 | — | 004321 | VENDOR | — |