Organization
TREVN RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A THOMAS (CEO)
(614) 273-0301
Entity
Organization
Contact information
Practice address
1660 NW PROFESSIONAL PLZ, SUITE J, COLUMBUS, OH 43220-3854
(614) 273-0301
(614) 273-0801
Mailing address
1660 NW PROFESSIONAL PLZ, SUITE J, COLUMBUS, OH 43220-3854
(614) 273-0301
(614) 273-0801
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2517557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372703
—
OH
Enumeration date
03/29/2007
Last updated
08/22/2020
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