Provider Demographics
NPI:1497510960
Name:TRINITY ASSISTED LIVING FACILITY INC
Entity Type:Organization
Organization Name:TRINITY ASSISTED LIVING FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:YVRONIE
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:TERMILIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-460-8125
Mailing Address - Street 1:8034 VILLAGE GREEN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8955
Mailing Address - Country:US
Mailing Address - Phone:321-460-8125
Mailing Address - Fax:
Practice Address - Street 1:8034 VILLAGE GREEN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-8955
Practice Address - Country:US
Practice Address - Phone:321-460-8125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility