Provider Demographics
NPI:1154607588
Name:TRIO, LLC
Entity type:Organization
Organization Name:TRIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-577-5024
Mailing Address - Street 1:501 S MUSTANG RD
Mailing Address - Street 2:H
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6849
Mailing Address - Country:US
Mailing Address - Phone:405-577-5024
Mailing Address - Fax:405-577-5262
Practice Address - Street 1:501 S MUSTANG RD
Practice Address - Street 2:H
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6849
Practice Address - Country:US
Practice Address - Phone:405-577-5024
Practice Address - Fax:405-577-5262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment