Organization
TRINITY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKATA KHYNE-SAM (OWNER)
(571) 398-6736
Entity
Organization
Contact information
Practice address
3102 GOLANSKY BLVD STE 201, WOODBRIDGE, VA 22192-4244
(571) 398-6736
Mailing address
3102 GOLANSKY BLVD STE 201, WOODBRIDGE, VA 22192-4244
(571) 398-6736
(703) 436-9434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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