# TRINITY MARIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa Maria Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366538373
- **Authorized official:** RANDAL D KLEIS (PRESIDENT)
- **Authorized official phone:** (425) 820-9750

## Contact information

- **Practice address:** 723 E 9TH ST, LONG BEACH, CA 90813-4611
- **Practice address phone:** (562) 437-2797
- **Practice address fax:** (562) 437-8688
- **Mailing address:** 723 E 9TH ST, LONG BEACH, CA 90813-4611
- **Mailing address phone:** (562) 437-2797
- **Mailing address fax:** (562) 437-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC05329F | — | CA |