Individual
TRINA HAGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3770 TOLEDO RD APT 82, JACKSONVILLE, FL 32217-3327
(904) 864-0890
Mailing address
3770 TOLEDO RD APT 82, JACKSONVILLE, FL 32217-3327
(904) 864-0890
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747A0650X
Attendant Care Provider
237231
FL
Other
Enumeration date
02/11/2021
Last updated
09/28/2021
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