# TRI-LYFE SUPPORT SERVICES INC

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

## Provider details

- **NPI number:** 1841819489
- **Authorized official:** VALERIE JONES (ADMINISTRATOR)
- **Authorized official phone:** (813) 770-0202

## Contact information

- **Practice address:** 3919 E FERN ST APT 4, TAMPA, FL 33610-1609
- **Practice address phone:** (813) 770-0202
- **Practice address fax:** (800) 900-6377
- **Mailing address:** PO BOX 311356, TAMPA, FL 33680-3356
- **Mailing address phone:** (813) 770-0202
- **Mailing address fax:** (800) 900-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020