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Organization
SULPHUR SPRINGS I ENTERPRISES, LLC
Active
Organization
SULPHUR SPRINGS I ENTERPRISES, LLC
Active
Other names
Sunny Springs Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
1200 JACKSON ST N, SULPHUR SPRINGS, TX 75482-2104
(903) 885-6571
(903) 885-8710
Mailing address
1200 JACKSON ST N, SULPHUR SPRINGS, TX 75482-2104
(903) 885-6571
(903) 885-8710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021023
—
TX
01
—
005060
DADS FACID
TX
Enumeration date
02/06/2013
Last updated
08/15/2013
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