Individual provider · Type 1 NPI

Trina Blackman

Adult Care Home Facility · Detroit, MI

NPI number 1194577940 Active

Practice location

9140 Whittier St Apt 1
Detroit, MI 48224-1846

Call (586) 209-9385 Map

Mailing address

22019 Woodbury St Apt 1
Clinton Township, MI 48035-1766

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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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About NPI 1194577940

Trina Blackman's National Provider Identifier is 1194577940, issued on Apr 4, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Detroit, MI. The record was last updated on Apr 4, 2024.