Healthcare Provider Details

I. General information

NPI: 1205191301
Provider Name (Legal Business Name): TRINITY SENIOR CARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2012
Last Update Date: 07/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5307 72ND ST E
PALMETTO FL
34221-9454
US

IV. Provider business mailing address

5307 72ND ST E
PALMETTO FL
34221-9454
US

V. Phone/Fax

Practice location:
  • Phone: 941-952-8316
  • Fax:
Mailing address:
  • Phone: 941-952-8316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FREDINNA C. BARR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 941-952-8316