Organization
HEREFORD I ENTERPRISES, LLC
Active
Other names
Hereford Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
231 KINGWOOD ST, HEREFORD, TX 79045-3816
(806) 364-7113
(806) 364-0340
Mailing address
231 KINGWOOD ST, HEREFORD, TX 79045-3816
(806) 364-7113
(806) 364-0340
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005320
FACILITY ID
—
Enumeration date
06/15/2010
Last updated
06/16/2010
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