Organization
TRILLIUM HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAT JOHN BRAY (EXEC. DIR.)
(906) 264-5026
Entity
Organization
Contact information
Practice address
1144 NORTHLAND DR, MARQUETTE, MI 49855-4408
(906) 264-5026
(906) 273-1011
Mailing address
1144 NORTHLAND DR, MARQUETTE, MI 49855-4408
(906) 264-5026
(906) 273-1011
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AM520379519
STATE OF MICHIGAN
MI
Enumeration date
07/17/2020
Last updated
07/17/2020
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