Organization
COLLEGE STATION II ENTERPRISES, LLC
Active
Other names
Lampstand 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
2001 E 29TH ST, BRYAN, TX 77802-1954
(979) 822-6611
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
06/12/2024
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