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Organization

TRIDENT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY D. KRANTZ (CEO)
(434) 687-2990
Entity
Organization

Contact information

Practice address
2003 GRAVES MILL RD STE C, FOREST, VA 24551-4291
(434) 687-2990
(434) 687-2991
Mailing address
2003 GRAVES MILL RD STE C, FOREST, VA 24551-4291
(434) 687-2990
(434) 687-2991

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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