Organization
TRINITY INDEPENDENT HOME CARE
Active
Other names
TRINITY EMPOWERMENT CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY WILLISTINE (ADMINISTRATOR/OWNER)
(919) 671-1061
Entity
Organization
Contact information
Practice address
768 RANCH RD, CLAYTON, NC 27520-6463
(919) 550-7039
(919) 550-7039
Mailing address
768 RANCH RD, CLAYTON, NC 27520-6463
(919) 550-7039
(919) 550-7039
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2009
Last updated
08/16/2009
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