Organization
TRINITY LIFE ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRSHONDRA TRAVIS (ADMINISTRATOR)
(225) 931-9301
Entity
Organization
Contact information
Practice address
18158 JUDY DR, PRAIRIEVILLE, LA 70769-3396
(225) 673-9740
(225) 677-7804
Mailing address
18158 JUDY DR, PRAIRIEVILLE, LA 70769-3396
(225) 673-9740
(225) 677-7804
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
M1313
LA
Other
Enumeration date
04/02/2009
Last updated
04/06/2009
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