Organization
CSJ PROVIDER SERVICES LLC
Active
Parent organization
TRINITY LIVING PROVIDER SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY LIVING PROVIDER SERVICES LLC
Authorized official
MR. WENENDA SHAWN OKENDU (ADMINSTRATOR)
(832) 591-6836
Entity
Organization
Contact information
Practice address
7011 HARWIN DR STE 196, HOUSTON, TX 77036-2121
(713) 242-8167
(832) 802-6648
Mailing address
7011 HARWIN DR STE 196, HOUSTON, TX 77036-2121
(713) 242-8167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
01/08/2024
Last updated
01/15/2024
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