Organization
TRIDENTCARE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VONSTONE WOLFE (CHIEF ADMINISTRATIVE OFFICER)
(678) 514-7322
Entity
Organization
Contact information
Practice address
1200 ABERNATHY RD NE, BUILDING 600, SUITE 1700, ATLANTA, GA 30328-5662
(678) 514-7322
(678) 528-5076
Mailing address
1200 ABERNATHY RD NE, BUILDING 600, SUITE 1700, ATLANTA, GA 30328-5662
(678) 514-7322
(678) 528-5076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
060-R-1032
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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