Provider Demographics
NPI:1124725429
Name:TRUHEALTH MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:TRUHEALTH MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:908-967-8223
Mailing Address - Street 1:120 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-1398
Mailing Address - Country:US
Mailing Address - Phone:908-967-8223
Mailing Address - Fax:
Practice Address - Street 1:120 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-1398
Practice Address - Country:US
Practice Address - Phone:908-967-8223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty