# TRINITY MISSION OF GRANBURY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT DOVE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033169636
- **Legal business name:** COVENANT DOVE, LLC
- **Authorized official:** CHRISTOPHER J MURPHY (VICE PRESIDENT)
- **Authorized official phone:** (901) 937-7994

## Contact information

- **Practice address:** 600 REUNION CT, GRANBURY, TX 76048-1610
- **Practice address phone:** (817) 573-3773
- **Practice address fax:** (817) 573-0103
- **Mailing address:** 600 REUNION CT, GRANBURY, TX 76048-1610
- **Mailing address phone:** (817) 573-3773
- **Mailing address fax:** (817) 573-0103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116586 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001875 | — | TX |