NPI 1023441425

Trinity Communtiy Living

Organisation Adult Care Home Facility Madison, FL

Practice location

Address: 3704 NE Rocky Ford Rd, Madison, FL 32340-5143
Phone: (850) 212-3491
Mailing address: P.O. Box1143, Madison, FL 32341-4020

Authorised official

Name: Gloria Jean Mobley
Title: Owner
Phone: (850) 212-3491

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906618 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1023441425
Entity type: Organization
NPI issued: 21 Aug 2013
Record last updated: 21 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.