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Organization
TRINITY III, INC.
Active
Organization
TRINITY III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN FOX (PRESIDENT)
(704) 482-0901
Entity
Organization
Contact information
Practice address
607 E GROVER ST, SHELBY, NC 28150-4033
(704) 482-0901
Mailing address
PO BOX 477, SHELBY, NC 28151-0477
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL023043
NC
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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