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Organization
DUMAS I ENTERPRISES, LLC
Active
Organization
DUMAS I ENTERPRISES, LLC
Active
Other names
Great Plains Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
315 E 19TH ST, DUMAS, TX 79029-5657
(806) 935-4143
(806) 935-7988
Mailing address
315 E 19TH ST, DUMAS, TX 79029-5657
(806) 935-4143
(806) 935-7988
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020378
—
TX
01
—
004414
FACILITY ID
TX
Enumeration date
02/29/2012
Last updated
08/30/2021
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