Organization
TRINITY SUPPORT GROUP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATYRA SHANTIA MURRAY (MANAGERIAL)
(313) 627-0767
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD STE 102, SOUTHFIELD, MI 48075-2850
(313) 627-0767
Mailing address
20900 BOTSFORD DR, FARMINGTON HILLS, MI 48336-5914
(313) 627-0767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104466895
—
MI
Enumeration date
01/09/2020
Last updated
12/06/2021
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