Provider Demographics
NPI:1982579231
Name:TRUSTWELL LIVING AT MANSFIELD PLACE
Entity type:Organization
Organization Name:TRUSTWELL LIVING AT MANSFIELD PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:POOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-442-0807
Mailing Address - Street 1:1841 MIDDLE BELLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44904-1798
Mailing Address - Country:US
Mailing Address - Phone:419-942-0807
Mailing Address - Fax:
Practice Address - Street 1:1841 MIDDLE BELLVILLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44904-1798
Practice Address - Country:US
Practice Address - Phone:419-942-0807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility