Well Trevi Tenant LLC
NPI #1467113373 in Tarboro, North Carolina
Provider Information
- NPI Number
- 1467113373
- Entity Type
- Organization
- Organization Name
- Well Trevi Tenant LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 3, 2022
- Last Updated
- Jan 19, 2023
Practice Location
- Address
- 200 TRADE ST
- City
- Tarboro
- State
- North Carolina
- ZIP Code
- 27886-5055
- Phone
- (252) 823-2399
Authorized Official
- Name
- MARY ELLEN PISANELLI
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (419) 247-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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