| NPI | 1699256982 |
|---|---|
| Doing Business As | PEBBLE CREEK NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY BLAKE Managing Member 817-348-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |