Organization
AHR TYLER TRS SUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PROSKY (PRESIDENT)
(949) 270-9214
Entity
Organization
Contact information
Practice address
2055 W GRANDE BLVD, TYLER, TX 75703-0526
(903) 534-0449
Mailing address
18191 VON KARMAN AVE FL 3, IRVINE, CA 92612-7102
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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