Organization
CALDWELL IV ENTERPRISES, LLC
Active
Other names
Copperas Hollow Assited Living
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
343 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
(979) 567-6400
(979) 567-6434
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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