Organization
DESOTO I ENTERPRISES, LLC
Active
Other names
Five Points Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
1901 N HAMPTON RD, DESOTO, TX 75115
(817) 348-8959
(817) 348-0466
Mailing address
4150 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4892
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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