# TREVN RESIDENTIAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1740300508
- **Authorized official:** MR. MICHAEL A THOMAS (CEO)
- **Authorized official phone:** (614) 273-0301

## Contact information

- **Practice address:** 1660 NW PROFESSIONAL PLZ, SUITE J, COLUMBUS, OH 43220-3854
- **Practice address phone:** (614) 273-0301
- **Practice address fax:** (614) 273-0801
- **Mailing address:** 1660 NW PROFESSIONAL PLZ, SUITE J, COLUMBUS, OH 43220-3854
- **Mailing address phone:** (614) 273-0301
- **Mailing address fax:** (614) 273-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 2517557 | OH | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2372703 | — | OH |