Organization
ALICE III ENTERPRISES, LLC
Active
Other names
The Premier Assisted Living of Alice
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
800-C COYOTE TRAIL, ALICE, TX 78332
(361) 666-3802
Mailing address
4150 INTERNATIONAL PLZ STE 600, FT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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