Organization
DESOTO II ENTERPRISES, LLC
Active
Other names
DeSoto Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
1101 N HAMPTON RD, DESOTO, TX 75115-3951
(972) 223-3944
(972) 223-7456
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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