Provider Demographics
NPI:1982923199
Name:TYLER'S ASSISTED LIVING
Entity Type:Organization
Organization Name:TYLER'S ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-955-7550
Mailing Address - Street 1:208 FLOWING WELLS RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-2140
Mailing Address - Country:US
Mailing Address - Phone:706-955-7550
Mailing Address - Fax:
Practice Address - Street 1:208 FLOWING WELLS RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-2140
Practice Address - Country:US
Practice Address - Phone:706-955-7550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility