Organization
KERENS I ENTERPRISES, LLC
Active
Other names
Kerens Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ROBERT BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
809 NE 4TH ST, KERENS, TX 75144-2715
(903) 396-3211
(903) 396-2419
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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