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Organization

SILSBEE I ENTERPRISES, LLC

Active
Other names
Spanish Trail Assisted Living of Silsbee
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY R BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization

Contact information

Practice address
775 HWY 96 S, SILSBEE, TX 77656-5512
(409) 373-6305
(409) 373-6334
Mailing address
775 HWY 96 S, SILSBEE, TX 77656-5512
(409) 373-6305
(409) 373-6334

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105600
FACILITY ID
TX
01
5512
4 DIGIT ZIP CODE
TX
Enumeration date
05/10/2013
Last updated
11/14/2013
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