Provider Demographics
NPI:1255845764
Name:TRINITY HEALTH AND SOCIAL SERVICES LLC
Entity Type:Organization
Organization Name:TRINITY HEALTH AND SOCIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-889-5172
Mailing Address - Street 1:100 N BLACK HORSE PIKE STE C
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-3042
Mailing Address - Country:US
Mailing Address - Phone:856-889-5172
Mailing Address - Fax:856-228-1934
Practice Address - Street 1:100 N BLACK HORSE PIKE STE C
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-3042
Practice Address - Country:US
Practice Address - Phone:856-889-5172
Practice Address - Fax:856-228-1934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage