Organization
SAN ANGELO I ENTERPRISES, LLC
Active
Other names
Park Plaza Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2210 HOWARD ST, SAN ANGELO, TX 76901-1318
(325) 944-0561
(325) 944-0562
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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