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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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