Provider Demographics
NPI:1962115725
Name:TRIEFA HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:TRIEFA HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:EDEBIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-268-8692
Mailing Address - Street 1:324 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-3936
Mailing Address - Country:US
Mailing Address - Phone:774-268-8692
Mailing Address - Fax:774-220-5689
Practice Address - Street 1:324 GROVE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3936
Practice Address - Country:US
Practice Address - Phone:774-268-8692
Practice Address - Fax:774-220-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health