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Organization
TRINITY CARE XYZ
Active
Organization
TRINITY CARE XYZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE OBIRI-YEBOAH (EXECUTIVE DIRECTOR)
(718) 496-5778
Entity
Organization
Contact information
Practice address
32 CARNWATH CT, EDISON, NJ 08817-1941
(718) 496-5778
(973) 388-7168
Mailing address
32 CARNWATH CT, EDISON, NJ 08817-1941
(718) 496-5778
(973) 388-7168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HP0250900
NJ
320700000X
Physical Disabilities Residential Treatment Facility
Primary
HP0250900
NJ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
HP0250900
NJ
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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