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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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