| NPI | 1326234246 |
|---|---|
| Doing Business As | THE FOUNTAINS OF TYLER |
| Entity Type | Organization |
| Authorized Contact | GARY BLAKE Managing Member 817-348-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-05-20 |