Organization
GV-OP COFFEYVILLE LLC
Active
Other names
GV-OP Coffeyville LLC Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L HINES (PRESIDENT/CEO)
(620) 709-0305
Entity
Organization
Contact information
Practice address
106 TYLER BLVD, COFFEYVILLE, KS 67337-2425
(620) 251-6700
Mailing address
201 W 8TH ST, COFFEYVILLE, KS 67337-5807
(620) 988-0215
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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