Organization Name: | TRINITY VISITING NURSE AND HOMECARE ASSOCIATION |
NPI Number: | 1700800455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD J RICHARD (EXECUTIVE DIRECTOR) |
Mailing Address: | 4500 Utica Ridge Road Bettendorf |
State: | IA US |
Postal Code: | 52722 |
Phone Number: | 5637424700 |
Fax Number: | 5637424705 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |