# TRIARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023975919
- **Authorized official:** MRS. PATRICE CLOUTIER-DAVIS (CEO)
- **Authorized official phone:** (708) 673-3761

## Contact information

- **Practice address:** 7951 CALUMET AVE \# 1066, MUNSTER, IN 46321-1215
- **Practice address phone:** (708) 673-3761
- **Mailing address:** 6308 PATRICIA DR, MATTESON, IL 60443-3049
- **Mailing address phone:** (708) 673-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2026
- **Last updated:** 01/05/2026