| Organization Name: | TRINITY HEALTH CARE, LLC |
| NPI Number: | 1568797223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHA T HOUK (NURSE PRACTITIONER) |
| Mailing Address: | 200 Main St S Amory |
| State: | MS US |
| Postal Code: | 388214218 |
| Phone Number: | 6622563858 |
| Fax Number: | 6622563838 |
| NPI Enumeration Date: | 10/13/2009 |
| NPI Last Update Date: | 11/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R797975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |