Organization
TERRELL I ENTERPRISES, LLC
Active
Other names
Countryview Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
1900 N FRANCES ST, TERRELL, TX 75160-1215
(972) 524-2503
Mailing address
4150 INTERNATIONAL PLZ STE 600, FT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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