Provider Demographics
NPI:1992328777
Name:SOCIETY OF THE MOST HOLY TRINITY
Entity type:Organization
Organization Name:SOCIETY OF THE MOST HOLY TRINITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:CHIBUZO
Authorized Official - Last Name:ALILONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-403-4368
Mailing Address - Street 1:663 OLIVIA DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2742
Mailing Address - Country:US
Mailing Address - Phone:314-403-4368
Mailing Address - Fax:
Practice Address - Street 1:663 OLIVIA DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2742
Practice Address - Country:US
Practice Address - Phone:314-403-4368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty