Healthcare Provider Details

I. General information

NPI: 1730890559
Provider Name (Legal Business Name): TRINITY REHABILITATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 12/13/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72640 FAIRPOINT NEW ATHENS RD
SAINT CLAIRSVILLE OH
43950-8644
US

IV. Provider business mailing address

72640 FAIRPOINT NEW ATHENS RD
SAINT CLAIRSVILLE OH
43950-8644
US

V. Phone/Fax

Practice location:
  • Phone: 740-695-0069
  • Fax: 866-866-8683
Mailing address:
  • Phone: 740-695-0069
  • Fax: 866-866-8683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TOM E LEONARD JR.
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 740-695-0069