Provider Demographics
NPI:1124591565
Name:TRIPLE-T SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:TRIPLE-T SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FOLAHANMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GBALAJOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-761-7058
Mailing Address - Street 1:100 APLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1959
Mailing Address - Country:US
Mailing Address - Phone:267-761-7058
Mailing Address - Fax:
Practice Address - Street 1:100 APLEY DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1959
Practice Address - Country:US
Practice Address - Phone:267-761-7058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty