MEDICARE: TRELS HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
4	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1275281156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRELS HOME LLC

Provider Business Mailing Address
First Line	:	1110 N LOOP 336 W STE 425
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 N LOOP 336 W STE 425
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1193
Country	:	US
Telephone Number	:	936-217-1047
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TANESHU COLLIER
Credential	:
Telephone Number	:	832-398-0712

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/14/2022

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Directions to “TRELS HOME LLC ” Practice Location

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