Hereford I Enterprises, LLC

Organization Active NPI Skilled Nursing Facility · Hereford, TX

NPI 1346561149 · NPPES record last updated Jun 16, 2010

Key facts

NPI
1346561149
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
HEREFORD I ENTERPRISES, LLC
Practice address
231 Kingwood St
Hereford, TX 79045-3816
Phone
(806) 364-7113
Fax
(806) 364-0340
NPI assigned
Jun 15, 2010
Organization subpart
No

Authorized official

Name
Gary Blake
Title
Managing Member
Phone
(817) 348-8841

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

231 Kingwood St
Hereford, TX 79045-3816

Mailing address

231 Kingwood St
Hereford, TX 79045-3816
Phone (806) 364-7113

Other identifiers

IdentifierTypeStateIssuer
005320OtherFACILITY ID

Other names

  • Hereford Nursing & Rehabilitation Doing business as

Other providers in Hereford, TX

All providers in Hereford, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.