Organization
WELL TREVI TENANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN PISANELLI (AUTHORIZED REPRESENTATIVE)
(419) 247-2800
Entity
Organization
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 823-2399
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/19/2023
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