Organization
TYLER I ENTERPRISES, LLC
Active
Other names
The Fountains of Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
3323 GARDEN VALLEY RD, TYLER, TX 75702-3704
(903) 592-8852
(903) 533-1565
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 348-8959
(903) 533-1565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
05/20/2024
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