Organization
TRINITY COMMUNTIY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA JEAN MOBLEY (OWNER)
(850) 212-3491
Entity
Organization
Contact information
Practice address
3704 NE ROCKY FORD RD, MADISON, FL 32340-5143
(850) 212-3491
Mailing address
P.O. BOX1143, MADISON, FL 32341-4020
(850) 212-3491
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906618
FL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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