Organization
TRI STAR RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA NKENG (DIRECTOR)
(248) 836-8987
Entity
Organization
Contact information
Practice address
21311 MADA AVE, SOUTHFIELD, MI 48075-3846
(248) 836-8987
Mailing address
21311 MADA AVE, SOUTHFIELD, MI 48075-3846
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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