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Organization
DECATUR II ENTERPRISES, L.L.C.
Active
Organization
DECATUR II ENTERPRISES, L.L.C.
Active
Other names
Heritage Place of Decatur
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
605 W MULBERRY ST, DECATUR, TX 76234-1263
(940) 627-5444
Mailing address
4150 INTERNATIONAL PLZ STE 600, FT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/30/2024
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