Trivista
NPI #1831473453 in Corinth, Mississippi
Provider Information
- NPI Number
- 1831473453
- Entity Type
- Organization
- Organization Name
- Trivista
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 30, 2011
- Last Updated
- Sep 30, 2011
Practice Location
- Address
- 164 CR 512
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834
- Phone
- (901) 412-6441
Authorized Official
- Name
- MS. MALLORY PARKS, OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (901) 412-6441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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