| NPI | 1770969768 |
|---|---|
| Doing Business As | BRECKENRIDGE VILLAGE OF TYLER |
| Entity Type | Organization |
| Authorized Contact | KEVIN KING Executive Director 903-596-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 137372) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |