# TRINITY CARE XYZ

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

## Provider details

- **NPI number:** 1386182152
- **Authorized official:** MR. EUGENE OBIRI-YEBOAH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 496-5778

## Contact information

- **Practice address:** 32 CARNWATH CT, EDISON, NJ 08817-1941
- **Practice address phone:** (718) 496-5778
- **Practice address fax:** (973) 388-7168
- **Mailing address:** 32 CARNWATH CT, EDISON, NJ 08817-1941
- **Mailing address phone:** (718) 496-5778
- **Mailing address fax:** (973) 388-7168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0250900 | NJ | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | HP0250900 | NJ | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | HP0250900 | NJ | — |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 02/01/2017