Organization
TRINITY VILLAGE, INC.
Active
Other names
Trinity Village Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTINA JOANNA SMITH (ADMINISTRATOR)
(870) 879-3117
Entity
Organization
Contact information
Practice address
6400 TRINITY DR, PINE BLUFF, AR 71603-7802
(870) 879-3117
(870) 879-6422
Mailing address
6400 TRINITY DR, PINE BLUFF, AR 71603-7802
(870) 879-3117
(870) 879-6422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
314
AR
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179904311
—
AR
01
—
314
NURSING FACILITY LICENSE
AR
Enumeration date
02/19/2007
Last updated
04/20/2011
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