NPI 1144310426

Trombly Manor

Organisation Specialist Detroit, MI

Practice location

Address: 15040 Harper Ave, Detroit, MI 48224-2962
Phone: (313) 839-8728
Fax: (313) 839-4099

Authorised official

Name: Waldine Bates
Title: Home Manager
Phone: (313) 839-8728

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence AM82000989 (MI)

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Registry record

NPI: 1144310426
Entity type: Organization
NPI issued: 14 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.