Organization
CALDWELL I ENTERPRISES, LLC
Active
Other names
Copperas Hollow Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8841
Entity
Organization
Contact information
Practice address
343 COUNTRY CLUB DR, CALDWELL, TX 77836
(979) 567-6400
(979) 567-6434
Mailing address
343 COUNTRY CLUB DR, CALDWELL, TX 77836
(979) 567-6400
(979) 567-6434
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/27/2009
Last updated
03/31/2009
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