# TRINITY CENTER AT LUTHER PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215001995
- **Authorized official:** MS. LORRIE LITTLE (BILLING OFFICE MANAGER)
- **Authorized official phone:** (515) 262-5639

## Contact information

- **Practice address:** 1555 HULL AVE, DES MOINES, IA 50316-1341
- **Practice address phone:** (515) 262-5639
- **Practice address fax:** (515) 266-8302
- **Mailing address:** 1555 HULL AVE, DES MOINES, IA 50316-1341
- **Mailing address phone:** (515) 262-5639
- **Mailing address fax:** (515) 266-8302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 770825 | IA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0802306 | — | IA |