Organization
TRIVIUM OF MICHIGAN
Active
Parent organization
TRIVIUM OF NEW YORK, LLC
Other names
Trivium of Michigan
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIVIUM OF NEW YORK, LLC
Authorized official
NIGEL DOUGLAS (MANAGING PARTNER)
(929) 463-9998
Entity
Organization
Contact information
Practice address
14800 E 9 MILE RD UNIT 40, EASTPOINTE, MI 48021-3824
(770) 882-9974
Mailing address
1216 E 86TH ST, BROOKLYN, NY 11236-4928
(770) 882-9974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8532047
—
MI
Enumeration date
04/24/2019
Last updated
11/27/2023
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