Organization
TRINITY HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE B GREEN (OWNER / ADMINISTRATOR)
(662) 347-7455
Entity
Organization
Contact information
Practice address
730 MAIN ST STE I, GREENVILLE, MS 38701-4107
(662) 347-7455
(662) 702-5022
Mailing address
114 CREEKMORE RD, GREENVILLE, MS 38701-8013
(662) 822-9134
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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