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Organization
TRINITY VISITING NURSE AND HOMECARE ASSOCIATION
Active
Organization
TRINITY VISITING NURSE AND HOMECARE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD J RICHARD PT (EXECUTIVE DIRECTOR)
(309) 779-7242
Entity
Organization
Contact information
Practice address
106 19TH AVE, SUITE 101, MOLINE, IL 61265-3700
(309) 779-7600
(309) 779-7252
Mailing address
106 19TH AVE, SUITE 101, MOLINE, IL 61265-3700
(309) 779-7600
(309) 779-7252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05255
IA
1041C0700X
Clinical Social Worker
Primary
149.004883
IL
363LF0000X
Family Nurse Practitioner
062587
IA
363LF0000X
Family Nurse Practitioner
209-005341
IL
363LF0000X
Family Nurse Practitioner
209003631
IL
Other
Enumeration date
01/08/2008
Last updated
12/21/2010
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