Organization
LUFKIN I ENTERPRISES, LLC
Active
Other names
Castle Pines Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2414 WEST FRANK AVE, LUFKIN, TX 75904-3521
(936) 699-2544
(936) 699-3355
Mailing address
2414 WEST FRANK AVE, LUFKIN, TX 75904-3521
(936) 699-2544
(936) 699-3355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014208
—
TX
05
—
180846101
—
TX
01
—
5440
VENDOR #
TX
Enumeration date
05/24/2006
Last updated
08/30/2021
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