# DUMAS I ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Plains Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669746210
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 315 E 19TH ST, DUMAS, TX 79029-5657
- **Practice address phone:** (806) 935-4143
- **Practice address fax:** (806) 935-7988
- **Mailing address:** 315 E 19TH ST, DUMAS, TX 79029-5657
- **Mailing address phone:** (806) 935-4143
- **Mailing address fax:** (806) 935-7988

## Taxonomy

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

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 08/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001020378 | — | TX |
| 01 | — | 004414 | FACILITY ID | TX |
