Organization
TRINITY INDEPENDENT LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALCEE (ADMINISTRATOR)
(225) 272-8418
Entity
Organization
Contact information
Practice address
3009 MONTERREY DR STE C, BATON ROUGE, LA 70814-4022
(225) 928-0205
Mailing address
2113 VICKERS DR, BATON ROUGE, LA 70815-2281
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
10327
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178012
—
LA
Enumeration date
03/21/2007
Last updated
08/22/2020
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