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Organization
PALESTINE I ENTERPRISES, LLC
Active
Organization
PALESTINE I ENTERPRISES, LLC
Active
Other names
Greenbrier Nursing & Rehabilitation Center of Palestine
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2404 STATE HIGHWAY 155, PALESTINE, TX 75803-8524
(903) 729-6024
(903) 729-6942
Mailing address
2404 STATE HIGHWAY 155, PALESTINE, TX 75803-8524
(903) 729-6024
(903) 729-6942
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014994
—
TX
05
—
005082
—
TX
Enumeration date
01/31/2007
Last updated
08/30/2021
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