| NPI | 1457039075 |
|---|---|
| Former Legal Business Name | TRINITY LANE ADULT DAY SUPPORT |
| Entity Type | Organization |
| Authorized Contact | CIERRA R DRAKE Doo 419-944-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |