# GRAHAM I ENTERPRISES, LLC

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

## Provider details

- **NPI number:** 1639647118
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 1325 1ST ST, GRAHAM, TX 76450-3603
- **Practice address phone:** (940) 549-8787
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 11/02/2018