# TRIDENTCARE HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114280922
- **Authorized official:** MR. VONSTONE WOLFE (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (678) 514-7322

## Contact information

- **Practice address:** 1200 ABERNATHY RD NE, BUILDING 600, SUITE 1700, ATLANTA, GA 30328-5662
- **Practice address phone:** (678) 514-7322
- **Practice address fax:** (678) 528-5076
- **Mailing address:** 1200 ABERNATHY RD NE, BUILDING 600, SUITE 1700, ATLANTA, GA 30328-5662
- **Mailing address phone:** (678) 514-7322
- **Mailing address fax:** (678) 528-5076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060-R-1032 | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 06/18/2012