Organization
DE TRINITY COMMUNITY LIVING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. 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
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
01/20/2023
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