Organization
CORSICANA IV ENTERPRISES, L.L.C.
Active
Other names
The Village at Heritage Oaks Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BLAKE (MANAGER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2492
(903) 872-5130
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 386-8410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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