Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER MARK LY
Active Sole ProprietorMR. TYLER MARK LY is a Assisted Living Facility healthcare provider located in ROCKFORD, Michigan. NPI 1487182960 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · ROCKFORD, MI
Registration Details
- NPI Number
- 1487182960
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2017 (9.2277488828168 yrs)
- Last Updated
- Jul 21, 2022
- License
-
AF410343519 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5430 POLAR BEAR CT NEROCKFORD, MI, 493417517Browse MI providers · Browse ZIP 49341
- Phone
- 6162608194
- Fax
- 6168836531
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in ROCKFORD, MI
| Name | Credential | NPI |
|---|---|---|
| GERALYN M BARKER | — | 1295222578 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.