Organization
TRINITY III INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN FOX (PRESIDENT)
(704) 482-0901
Entity
Organization
Contact information
Practice address
921 N LAFAYETTE ST, SHELBY, NC 28150-3832
(704) 482-0901
(704) 482-2081
Mailing address
PO BOX 477, SHELBY, NC 28151-0477
(704) 482-0901
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603222
—
NC
05
—
6603223
—
NC
05
—
6603999
—
NC
05
—
8301206-B
—
NC
Enumeration date
08/15/2008
Last updated
08/15/2008
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