Organization
TRINITY CENTER AT LUTHER PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRIE LITTLE (BILLING OFFICE MANAGER)
(515) 262-5639
Entity
Organization
Contact information
Practice address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-8302
Mailing address
1555 HULL AVE, DES MOINES, IA 50316-1341
(515) 262-5639
(515) 266-8302
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
770825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802306
—
IA
Enumeration date
11/17/2006
Last updated
08/22/2020
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