Organization
ODESSA I ENTERPRISES, LLC
Active
Other names
Buena Vida Nursing & Rehab Odessa
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
3800 ENGLEWOOD LN, ODESSA, TX 79762-7073
(432) 362-2583
(432) 362-8384
Mailing address
3800 ENGLEWOOD LN, ODESSA, TX 79762-7073
(432) 362-2583
(432) 362-8384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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