Organization
JACKSONVILLE I ENTERPRISES LLC
Active
Other names
The Trinity Assisted Living of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
131 ZIMMERMAN DR., JACKSONVILLE, TX 75766-0131
(903) 283-1208
(845) 770-3308
Mailing address
131 ZIMMERMAN DR., JACKSONVILLE, TX 75766-0131
(903) 283-1208
(845) 770-3308
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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