Organization
GRANBURY II ENTERPRISES, LLC
Active
Other names
The Oaks of Granbury
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 832-3654
Entity
Organization
Contact information
Practice address
1017 LIPAN DR, GRANBURY, TX 76048-1560
(817) 279-8885
(817) 569-1908
Mailing address
1017 LIPAN DR, GRANBURY, TX 76048-1560
(817) 279-8885
(817) 569-1908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000569
—
TX
Enumeration date
03/09/2007
Last updated
10/31/2007
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