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General NPI Number Information
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NPI Number | 1821962101
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Entity Type | Organization
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Legal Business Name | TRINITY #3 ASSISTED LIVING FACILITY INC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 6008 LAKEVILLE RD
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City | ORLANDO
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State | FL
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Zip | 32818-8809
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Country | US
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Telephone | 407-412-6443
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Fax | 407-704-8457
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Provider Business Mailing Address
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Address Line | 6008 LAKEVILLE RD
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City | ORLANDO
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State | FL
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Zip | 32818-8809
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Country | US
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Telephone | 407-412-6443
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Fax | 407-704-8457
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. YVRONIE JUSTIN TERMILIEN
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Credential |
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Telephone | 321-460-8125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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