| NPI | 1598409930 |
|---|---|
| Other Name | GV-OP COFFEYVILLE LLC TYLER |
| Entity Type | Organization |
| Authorized Contact | SCOTT L HINES President/CEO 620-709-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |