# TRINITY MISSION OF DIBOLL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT DOVE, LLC
- **Other names:** Trinity Mission Health & Rehab of Diboll
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902856685
- **Legal business name:** COVENANT DOVE, LLC
- **Authorized official:** CHRISTOPHER J MURPHY (PRESIDENT)
- **Authorized official phone:** (901) 937-7994

## Contact information

- **Practice address:** 900 S TEMPLE DR, DIBOLL, TX 75941-2725
- **Practice address phone:** (936) 829-5501
- **Practice address fax:** (936) 829-5503
- **Mailing address:** 2723 SUMMER OAKS DR, BARTLETT, TN 38134-2858
- **Mailing address phone:** (901) 937-7994
- **Mailing address fax:** (901) 937-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114018 | TX | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 07/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001923 | — | TX |