Organization
TRINITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREA BROUSSARD (CFO)
(228) 325-1050
Entity
Organization
Contact information
Practice address
45 HARDY COURT, UNIT 377, GULFPORT, MS 39507
(228) 325-1050
Mailing address
45 HARDY COURT, UNIT 377, GULFPORT, MS 39507
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
12/27/2016
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