Organization
TRINITY OMNISCIENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADRICA DAVIS (DIRECTOR)
(772) 646-1430
Entity
Organization
Contact information
Practice address
4825 33RD AVE, VERO BEACH, FL 32967-1229
(772) 646-1430
(772) 429-8163
Mailing address
4825 33RD AVENUE, VERO BEACH, FL 32967
(772) 646-1430
(772) 429-8163
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
002106300
FL
253Z00000X
In Home Supportive Care Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002106300
—
FL
Enumeration date
10/27/2010
Last updated
10/27/2010
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