Organization
TRI-LYFE SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JONES (ADMINISTRATOR)
(813) 770-0202
Entity
Organization
Contact information
Practice address
3919 E FERN ST APT 4, TAMPA, FL 33610-1609
(813) 770-0202
(800) 900-6377
Mailing address
PO BOX 311356, TAMPA, FL 33680-3356
(813) 770-0202
(800) 900-6377
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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