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Organization
TRINITY HOME HEALTH CARE PROVIDERS LLC
Active
Organization
TRINITY HOME HEALTH CARE PROVIDERS LLC
Active
Other names
Right at Home of Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA C SMITH (MANAGING PARTNER)
(813) 689-4884
Entity
Organization
Contact information
Practice address
902 W LUMSDEN RD, SUITE 104, BRANDON, FL 33511-8806
(813) 689-4884
(813) 689-4889
Mailing address
902 W LUMSDEN RD, SUITE 104, BRANDON, FL 33511-8806
(813) 689-4884
(813) 689-4889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
230260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693413700
MEDICAID WAIVER PROVIDER NUMBER
FL
Enumeration date
08/04/2008
Last updated
08/04/2008
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