Organization
TRINITY MISSION OF GRANBURY, LLC
Active
Parent organization
COVENANT DOVE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
CHRISTOPHER J MURPHY (VICE PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
600 REUNION CT, GRANBURY, TX 76048-1610
(817) 573-3773
(817) 573-0103
Mailing address
600 REUNION CT, GRANBURY, TX 76048-1610
(817) 573-3773
(817) 573-0103
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001875
—
TX
Enumeration date
05/12/2006
Last updated
04/12/2012
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