Provider Demographics
NPI:1194340067
Name:TRILOGY HEALTH CARE NURSING CARE NEXT DOOR
Entity type:Organization
Organization Name:TRILOGY HEALTH CARE NURSING CARE NEXT DOOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:EMEAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-267-0849
Mailing Address - Street 1:103 ARBOR CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-5569
Mailing Address - Country:US
Mailing Address - Phone:678-267-0849
Mailing Address - Fax:
Practice Address - Street 1:103 ARBOR CREEK WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-5569
Practice Address - Country:US
Practice Address - Phone:678-267-0849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health