Organization
TRINITY HOME CARE AGENCY
Active
Other names
Trinity home care agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALETTA G CAMPBELL CERTIFIED CARE GIVER (OWNER/EXECTIVE)
(480) 245-8698
Entity
Organization
Contact information
Practice address
1420 W PEORIA AVE, SUITE 213, PHOENIX, AZ 85029-5170
(480) 245-8698
(602) 943-4972
Mailing address
1420 W PEORIA AVE, SUITE 213, PHOENIX, AZ 85029-5170
(480) 245-8698
(602) 943-4972
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
ALTP0136
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24
NON -MEDICAL PROVIDER
AZ
Enumeration date
11/23/2011
Last updated
11/23/2011
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