Organization
ROCKDALE BLACKHHAWK, LLC
Active
Other names
Little River Healthcare - Cornerstone Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY BORGFELD (COO)
(512) 446-4500
Entity
Organization
Contact information
Practice address
6600 FISH POND RD, SUITE 202A, WACO, TX 76710-2581
(254) 265-7300
Mailing address
PO BOX 1010, ROCKDALE, TX 76567-1010
(512) 446-4500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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