Organization Name: | TRI SUPPORT SYSTEMS |
NPI Number: | 1760675839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON ALTMAN (OWNER) |
Mailing Address: | 5307 Brekenwood Rd Pleasant Garden |
State: | NC US |
Postal Code: | 273138239 |
Phone Number: | 3363730482 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | MHL-041-769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |