Organization
BIG SPRING I ENTERPRISES, LLC
Active
Other names
Big Spring Center for Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
3701 WASSON RD, BIG SPRING, TX 79720-0000
(817) 348-8959
(817) 348-0466
Mailing address
3701 WASSON RD, BIG SPRING, TX 79720-0000
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801987077
SOS FILE#
TX
Enumeration date
07/28/2014
Last updated
08/30/2021
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