Organization
TRAOSHI
Active
Organization
TRAOSHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY TATE (EXECUTIVE OFFICER)
(248) 469-5570
Entity
Organization
Contact information
Practice address
7738 WYKES ST, DETROIT, MI 48210-1026
(248) 469-5570
Mailing address
20049 EVERGREEN MEADOWS RD, SOUTHFIELD, MI 48076-4214
(248) 469-5570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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