NPI 1386499523
Tri Star Residential INC
Practice location
- Address
- 21311 Mada Ave, Southfield, MI 48075-3846
- Phone
- (248) 836-8987
Authorised official
- Name
- Cynthia Nkeng
- Title
- Director
- Phone
- (248) 836-8987
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1386499523
- Entity type
- Organization
- NPI issued
- 22 Apr 2024
- Record last updated
- 22 Apr 2024
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.