Organization
NEVADA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TYLER (DIRECTOR)
(417) 667-5000
Entity
Organization
Contact information
Practice address
1495 E ASHLAND ST, NEVADA, MO 64772-4016
(417) 667-5000
Mailing address
1495 E ASHLAND ST, NEVADA, MO 64772-4016
(417) 667-5000
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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