Healthcare Provider Details

I. General information

NPI: 1184443731
Provider Name (Legal Business Name): TRINITY SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W MAPLE RD
CLAWSON MI
48017-1109
US

IV. Provider business mailing address

PO BOX 1386
STERLING HEIGHTS MI
48311-1386
US

V. Phone/Fax

Practice location:
  • Phone: 586-256-3725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANGELA TOBIA
Title or Position: OWNER
Credential:
Phone: 586-256-3725