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General NPI Number Information
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NPI Number | 1235616988
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Entity Type | Organization
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Legal Business Name | TRINITY LIVING CARE INC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 16123 TALONCREST DR
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City | HOUSTON
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State | TX
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Zip | 77083-5036
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Country | US
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Telephone | 832-875-6037
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Fax |
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Provider Business Mailing Address
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Address Line | 16123 TALONCREST DR
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City | HOUSTON
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State | TX
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Zip | 77083-5036
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Country | US
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Telephone | 832-875-6037
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ROSALINE OSAHON ERHUNMWUNSEE
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Credential | HCS
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Telephone | 832-875-6037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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