Provider Demographics
NPI:1245660166
Name:TRELLONS HOMECARE SERVICES
Entity type:Organization
Organization Name:TRELLONS HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:LAVERENE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-337-4746
Mailing Address - Street 1:317 E BENTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4708
Mailing Address - Country:US
Mailing Address - Phone:319-337-4746
Mailing Address - Fax:319-337-4746
Practice Address - Street 1:317 E BENTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4708
Practice Address - Country:US
Practice Address - Phone:319-337-4746
Practice Address - Fax:319-337-4746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care