Healthcare Provider Details

I. General information

NPI: 1063700227
Provider Name (Legal Business Name): TRILLIUM FAMILY SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 MARKET AVE N
CANTON OH
44702-1017
US

IV. Provider business mailing address

624 MARKET AVE N
CANTON OH
44702-1017
US

V. Phone/Fax

Practice location:
  • Phone: 330-454-7066
  • Fax: 330-454-9427
Mailing address:
  • Phone: 330-454-7066
  • Fax: 330-454-9427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY TRUBISKY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 330-454-7066