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Organization
CUERO I ENTERPRISES, LLC
Active
Organization
CUERO I ENTERPRISES, LLC
Active
Other names
Mission Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
1010 MC ARTHUR ST, CUERO, TX 77954-2317
(361) 277-6133
(361) 275-6169
Mailing address
1010 MC ARTHUR ST, CUERO, TX 77954-2317
(361) 277-6133
(361) 275-6169
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018421
—
TX
01
—
004728
FACILITY ID
TX
Enumeration date
04/20/2010
Last updated
02/25/2015
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