Organization
TRIFORM ENTERPRISES LTD.
Active
Other names
Triform Camphill Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PAHOLAK (PRESIDENT)
(518) 851-9320
Entity
Organization
Contact information
Practice address
20 TRIFORM ROAD, HUDSON, NY 12534
(518) 851-9320
(518) 851-2864
Mailing address
20 TRIFORM ROAD, HUDSON, NY 12534
(518) 851-9320
(518) 851-2864
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
9035400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02702463
—
NY
Enumeration date
02/19/2009
Last updated
02/19/2009
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