Provider Demographics
NPI:1497133292
Name:TRUST-IN QUALITY CARE SERVICE COORDINATION LLC
Entity Type:Organization
Organization Name:TRUST-IN QUALITY CARE SERVICE COORDINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-681-7236
Mailing Address - Street 1:7627 ELMWOOD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-1333
Mailing Address - Country:US
Mailing Address - Phone:215-681-7236
Mailing Address - Fax:
Practice Address - Street 1:7627 ELMWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-1333
Practice Address - Country:US
Practice Address - Phone:215-681-7236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management