| Organization Name: | TRINITY HOSPICE OF NEW JERSEY, LLC |
| NPI Number: | 1033301551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY M GLASSCOCK (A/R MANAGER) |
| Mailing Address: | 1099 Wall St W Suite 100 Lyndhurst |
| State: | NJ US |
| Postal Code: | 070713678 |
| Phone Number: | 2014600932 |
| Fax Number: | 2019392436 |
| NPI Enumeration Date: | 08/17/2007 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |