Provider Demographics
NPI:1063245801
Name:TRILOGY QUALITY ASSURANCE LLC
Entity type:Organization
Organization Name:TRILOGY QUALITY ASSURANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:541-261-2982
Mailing Address - Street 1:31 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-1145
Mailing Address - Country:US
Mailing Address - Phone:541-261-2982
Mailing Address - Fax:
Practice Address - Street 1:31 W 4TH ST
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-1145
Practice Address - Country:US
Practice Address - Phone:541-261-2982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management