Organization
TRINITY COMMUNITY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJOVWOKE RIESA (EXECUTIVE DIRECTOR)
(646) 400-4562
Entity
Organization
Contact information
Practice address
25 GORDON RD, MIDDLETOWN, NY 10941-3346
(646) 400-4562
Mailing address
25 GORDON RD, MIDDLETOWN, NY 10941-3346
(646) 400-4562
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/31/2023
Last updated
11/01/2023
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