# TRINITY SUPPORT GROUP SERVICES LLC

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

## Provider details

- **NPI number:** 1104466895
- **Authorized official:** MS. LATYRA SHANTIA MURRAY (MANAGERIAL)
- **Authorized official phone:** (313) 627-0767

## Contact information

- **Practice address:** 24100 SOUTHFIELD RD STE 102, SOUTHFIELD, MI 48075-2850
- **Practice address phone:** (313) 627-0767
- **Mailing address:** 20900 BOTSFORD DR, FARMINGTON HILLS, MI 48336-5914
- **Mailing address phone:** (313) 627-0767

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 12/06/2021