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Trina Blackman
Adult Care Home Facility in Detroit, Michigan
NPI 1194577940

Trina Blackman is an Adult Care Home Facility based in Clinton Township, MI and is specialized in Adult Care Home. Trina Blackman practices in Detroit, MI. The NPI Number for Trina Blackman is 1194577940 and holds a License No. (Michigan).

The current practice location address for Trina Blackman is 9140 Whittier St Apt 1, Detroit, MI and can be reached out via phone at 586-209-9385.

Location: 9140 Whittier St Apt 1, Detroit, MI, 48035-1766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194577940
Provider Name
Trina Blackman
Credential
Provider Entity Type
Individual
Gender
Female
Address
9140 Whittier St Apt 1, Detroit, MI, 48035-1766
Phone Number
586-209-9385
Fax Number
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
9140 Whittier St Apt 1
City
Detroit
State
Michigan
Zip
48224-1846
Phone Number
586-209-9385
Fax Number
person
Provider Business Mailing Address Details
Address
9140 Whittier St Apt 1
City
Detroit
State
Michigan
Zip
48224-1846
Phone Number
586-209-9385
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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