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Organization
TRINITY LIVING PROVIDER SERVICES LLC
Active
Organization
TRINITY LIVING PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE LEE OKENDU ADMINISTRATOR (MANAGER)
(832) 368-0946
Entity
Organization
Contact information
Practice address
12677 HIRAM CLARKE RD, HOUSTON, TX 77045-2218
(832) 591-6836
Mailing address
PO BOX 450133, HOUSTON, TX 77245-0133
(832) 368-0946
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881255867
—
TX
Enumeration date
09/22/2019
Last updated
05/18/2020
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