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Organization
MCLEAN I ENTERPRISES, LLC
Active
Organization
MCLEAN I ENTERPRISES, LLC
Active
Other names
McLean Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
605 W SEVENTH ST, MCLEAN, TX 79057-0780
(806) 779-2469
(806) 779-2515
Mailing address
PO BOX 780, MCLEAN, TX 79057-0780
(806) 779-2469
(806) 779-2515
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016678
—
TX
01
—
005156
VENDOR
—
Enumeration date
12/22/2008
Last updated
08/30/2021
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