Organization
MERCY HEALTH PARTNERS
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Trinity Health Boutique - Lakes Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
GARY EDWARD ALLORE (PRESIDENT)
(231) 672-4888
Entity
Organization
Contact information
Practice address
6401 PRAIRIE ST, SUITE 2900, NORTON SHORES, MI 49444-7840
(231) 672-7890
(231) 672-7866
Mailing address
6401 PRAIRIE ST STE 2900, NORTON SHORES, MI 49444-7841
(231) 672-7890
(231) 672-7866
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Enumeration date
02/23/2015
Last updated
11/05/2024
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