# TRINITY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922596923
- **Authorized official:** SUE ANN MANUELITO EDD (OWNER)
- **Authorized official phone:** (505) 900-8894

## Contact information

- **Practice address:** 1608 \#B STATE HIGHWAY 264, TSE BONITO, NM 87305
- **Practice address phone:** (505) 900-8894
- **Mailing address:** PO BOX 94, ST MICHAELS, AZ 86511-0094
- **Mailing address phone:** (928) 871-5208
- **Mailing address fax:** (888) 481-6796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 102334 | AZ | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 04/25/2018