Organization
COLLEGE STATION I ENTERPRISES, L.L.C.
Active
Other names
Fortress Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
1105 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8344
(979) 694-2200
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
11/08/2024
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