Organization
COOPER I ENTERPRISES, L.L.C.
Active
Other names
Birchwood Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
110 HIGHWAY 64 W, COOPER, TX 75432-9734
(903) 395-2125
Mailing address
4150 INTERNATIONAL PLZ STE 600, FT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
12/04/2024
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