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NPI Code Detail

MEDICARE: TRINITY NURSING CARE LLC

MEDICARE: TRINITY NURSING CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1740796598
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY NURSING CARE LLC
Provider Business Mailing Address
First Line : 4117 MADISON ST
Second Line :
City : AVE MARIA
State : FL
Zip : 34142-5019
Country : US
Telephone Number : 678-464-3799
Fax Number :
Provider Business Practice Location Address
First Line : 4117 MADISON ST
Second Line :
City : AVE MARIA
State : FL
Zip : 34142-5019
Country : US
Telephone Number : 678-464-3799
Fax Number : 239-867-4141
Authorized Official
Title or Position : OWNER
Name : YVONETTE MERAT
Credential :
Telephone Number : 678-464-3799
Provider Enumeration Date : 12/15/2017
Last Update Date : 12/15/2017

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Directions to “TRINITY NURSING CARE LLC ” Practice Location

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