Healthcare Provider Details
I. General information
NPI: 1386786341
Provider Name (Legal Business Name): TRINION QUALITY CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2007
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3700 WOODLAND DRIVE SUITE 500
ANCHORAGE AK
99517-2567
US
IV. Provider business mailing address
3700 WOODLAND DRIVE SUITE 500
ANCHORAGE AK
99517-2567
US
V. Phone/Fax
- Phone: 907-644-6050
- Fax: 907-644-4438
- Phone: 907-644-6050
- Fax: 907-644-4438
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
THERESA
M
WELTON
Title or Position: CEO
Credential: BSW
Phone: 907-644-6050