NPI 1245839414

Brownwood V Enterprises, LLC

Organisation Skilled Nursing Facility Brownwood, TX

Practice location

Address: 101 Miller Dr, Brownwood, TX 76801-5949
Phone: (325) 643-9555
Fax: (325) 643-9519
Mailing address: 4150 International Plz STE 600, Fort Worth, TX 76109-4831

Authorised official

Name: Gary Blake
Title: Managing Member
Phone: (817) 348-8959

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1245839414
Entity type: Organization
NPI issued: 20 Oct 2020
Record last updated: 20 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.