Organization
CALDWELL II ENTERPRISES, LLC
Active
Other names
Copperas Hollow Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
345 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
(979) 567-4300
(979) 567-4315
Mailing address
345 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
(979) 567-4300
(979) 567-4315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017065
—
TX
Enumeration date
03/31/2009
Last updated
07/22/2009
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