Organization
TRIDENT MEDICAL CONCIERGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON B NILES RN (OWNER)
(617) 595-1958
Entity
Organization
Contact information
Practice address
6 HALSEY RD, HYDE PARK, MA 02136-3316
(617) 595-1958
Mailing address
6 HALSEY RD, HYDE PARK, MA 02136-3316
(617) 595-1958
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/22/2021
Last updated
03/25/2023
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