Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1790406239 |
| LBN Legal business name | TRISIS FAMILY SERVICES LLC |
| Authorized official | DEBORAH LOVE - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/02/2022 |
| Last updated | 09/02/2022 - About 4 years ago |
| Identifiers | n/a |
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TRISIS FAMILY SERVICES LLC
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