Provider Demographics
NPI:1922766807
Name:NETRIN HEALTH, LLC.
Entity Type:Organization
Organization Name:NETRIN HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MANISUNDARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-205-8250
Mailing Address - Street 1:9893 GEORGETOWN PIKE STE 510
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2617
Mailing Address - Country:US
Mailing Address - Phone:708-205-8250
Mailing Address - Fax:
Practice Address - Street 1:9893 GEORGETOWN PIKE STE 510
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-2617
Practice Address - Country:US
Practice Address - Phone:708-205-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management