Healthcare Provider Details

I. General information

NPI: 1114177987
Provider Name (Legal Business Name): TRINITY QUALITY HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18530 MACK AVE #470
GROSSE POINTE FARMS MI
48236-3254
US

IV. Provider business mailing address

18530 MACK AVE #470
GROSSE POINTE FARMS MI
48236-3254
US

V. Phone/Fax

Practice location:
  • Phone: 586-822-7404
  • Fax:
Mailing address:
  • Phone: 586-822-7404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. GAYLE D PATRICK
Title or Position: OWNER
Credential:
Phone: 586-822-7404