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Organization
TRINITY MISSION OF ITALY, LLC
Active
Organization
TRINITY MISSION OF ITALY, LLC
Active
Parent organization
COVENANT DOVE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
DOVE1ITAL J MURPHY (VICE PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
220 DAVENPORT, ITALY, TX 76651-3592
(972) 483-6369
(972) 483-6114
Mailing address
220 DAVENPORT, ITALY, TX 76651-3592
(972) 483-6369
(972) 483-6114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001871
—
TX
Enumeration date
05/11/2006
Last updated
04/12/2012
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