Organization
TRINITY ICF/MR, INC.
Active
Other names
Trinity Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON G. SPEARS (VICE PRES.)
(972) 202-9700
Entity
Organization
Contact information
Practice address
2813 COUNTRY VALLEY RD, GARLAND, TX 75043-1121
(972) 202-9700
(972) 202-9703
Mailing address
2813 COUNTRY VALLEY RD, GARLAND, TX 75043-1121
(972) 202-9700
(972) 202-9703
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
007404
TX
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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