# DESOTO I ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Points Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457920373
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 1901 N HAMPTON RD, DESOTO, TX 75115
- **Practice address phone:** (817) 348-8959
- **Practice address fax:** (817) 348-0466
- **Mailing address:** 4150 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4892
- **Mailing address phone:** (817) 348-8959
- **Mailing address fax:** (817) 348-0466

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 06/24/2021