# SULPHUR SPRINGS I ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunny Springs Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679812929
- **Authorized official:** MR. GARY R BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8841

## Contact information

- **Practice address:** 1200 JACKSON ST N, SULPHUR SPRINGS, TX 75482-2104
- **Practice address phone:** (903) 885-6571
- **Practice address fax:** (903) 885-8710
- **Mailing address:** 1200 JACKSON ST N, SULPHUR SPRINGS, TX 75482-2104
- **Mailing address phone:** (903) 885-6571
- **Mailing address fax:** (903) 885-8710

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 08/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021023 | — | TX |
| 01 | — | 005060 | DADS FACID | TX |