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General NPI Number Information
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NPI Number | 1659566149
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 09/08/2007
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR 306
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City | MILWAUKEE
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State | WI
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Zip | 53216-2070
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Country | US
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Telephone | 414-466-5564
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Fax | 414-466-5518
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Provider Business Mailing Address
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Address Line | 6815 W CAPITOL DR 306
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City | MILWAUKEE
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State | WI
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Zip | 53216-2070
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Country | US
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Telephone | 414-466-5564
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Fax | 414-466-5518
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FOLAKE ROSE ADENIYI
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Credential | R.N
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Telephone | 414-466-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1081
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License Number State | WI
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