Organization
BLAKELEY ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH PEARLINE BLAKELEY (OWNER/MANAGER)
(254) 965-4777
Entity
Organization
Contact information
Practice address
1161 N NEBLETT ST, STEPHENVILLE, TX 76401-2351
(254) 965-4777
(254) 965-4714
Mailing address
1161 N NEBLETT ST, STEPHENVILLE, TX 76401-2351
(254) 965-4777
(254) 965-4714
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
121518
TX
Other
Enumeration date
11/13/2007
Last updated
06/18/2008
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