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MENTOR ABI, LLC

Assisted Living Facility

Tyler, Texas

Provider NPI: 1043322308

Organization Information:
Organization Name:  MENTOR ABI, LLC


Practice Location:
6589 OAK HILL BLVD  TYLER, TX 75703 US
Tel: 501-707-3262  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
TX136544

Other Provider Identifiers:

IssuerNumberStateType
BC-BS OF TXHH0996TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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