Organization
TRINITYCARE GROUP HOMES INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRINETTE CLARK B.S., A.S.C.P. (PRESIDENT/ADMINISTRATOR)
(317) 924-5804
Entity
Organization
Contact information
Practice address
1800 N MERIDIAN ST, SUITE 403, INDIANAPOLIS, IN 46202-1443
(317) 924-8405
(317) 924-8409
Mailing address
1800 N MERIDIAN ST, SUITE 403, INDIANAPOLIS, IN 46202-1443
(317) 924-8405
(317) 924-8409
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
43858
IN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
43858
IN
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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