# CUERO I ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Nursing & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427374107
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8841

## Contact information

- **Practice address:** 1010 MC ARTHUR ST, CUERO, TX 77954-2317
- **Practice address phone:** (361) 277-6133
- **Practice address fax:** (361) 275-6169
- **Mailing address:** 1010 MC ARTHUR ST, CUERO, TX 77954-2317
- **Mailing address phone:** (361) 277-6133
- **Mailing address fax:** (361) 275-6169

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 02/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001018421 | — | TX |
| 01 | — | 004728 | FACILITY ID | TX |