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General NPI Number Information
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NPI Number | 1083703953
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Entity Type | Organization
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Legal Business Name | TRINITY CONTINUING CARE SERVICES
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 718 W 4TH ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-2406
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Country | US
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Telephone | 248-545-0571
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Fax | 248-545-9819
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Provider Business Mailing Address
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Address Line | PO BOX 9184
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City | FARMINGTON HILLS
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State | MI
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Zip | 48333-9184
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Country | US
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Telephone | 248-305-7919
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Fax | 248-305-7677
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Authorized Official
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Title or Position | CEO
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Name | JACKIE HARRIS
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Credential |
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Telephone | 248-305-7688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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