Provider Demographics
NPI:1336597319
Name:THE TRINITY SITTER SERVICE LLC
Entity type:Organization
Organization Name:THE TRINITY SITTER SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:903-472-4798
Mailing Address - Street 1:PO BOX 1655
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-1655
Mailing Address - Country:US
Mailing Address - Phone:903-472-4798
Mailing Address - Fax:903-472-4799
Practice Address - Street 1:307 E AUSTIN ST STE B
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-3475
Practice Address - Country:US
Practice Address - Phone:903-472-4798
Practice Address - Fax:903-472-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care