Organization
TRINITY HOME CARE OF ROBESON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE LOCKLEAR (OWNER ADMINISTRATOR)
(910) 844-7049
Entity
Organization
Contact information
Practice address
603 W MLK JR DR, MAXTON, NC 28364-1845
(910) 844-7049
(910) 844-7049
Mailing address
603 W MLK JR DR, TRINITY HOME CARE OF ROBESON COUNTY, MAXTON, NC 28364-1845
(910) 844-7049
(910) 844-7049
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418025
—
NC
05
—
6601345
—
NC
Enumeration date
12/26/2006
Last updated
07/18/2008
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