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Organization
TRINITY MISSION OF DIBOLL, LLC
Active
Organization
TRINITY MISSION OF DIBOLL, LLC
Active
Parent organization
COVENANT DOVE, LLC
Other names
Trinity Mission Health & Rehab of Diboll
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
CHRISTOPHER J MURPHY (PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 829-5501
(936) 829-5503
Mailing address
2723 SUMMER OAKS DR, BARTLETT, TN 38134-2858
(901) 937-7994
(901) 937-1516
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001923
—
TX
Enumeration date
05/11/2006
Last updated
07/24/2014
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