Organization Name: | TRULIFE HEALTH SERVICES |
NPI Number: | 1578706990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFRED EZEKWESILI (ADMINISTRATOR) |
Mailing Address: | 1502 Woodlawn Dr 103 Woodlawn |
State: | MD US |
Postal Code: | 212074022 |
Phone Number: | 4102983431 |
Fax Number: | 4102983934 |
NPI Enumeration Date: | 04/15/2009 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | R2736P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |