Organization
WOLFFORTH I ENTERPRISES, L.L.C.
Active
Other names
Villa Residential Care of Wolfforth I, II, III
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 832-3654
Entity
Organization
Contact information
Practice address
109 E 5TH ST, WOLFFORTH, TX 79382-2195
(806) 866-4666
(806) 866-4111
Mailing address
301 E 5TH ST, WOLFFORTH, TX 79382
(806) 866-4666
(806) 866-4111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
03/11/2025
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