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General NPI Number Information
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NPI Number | 1235223405
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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 | 10/03/2006
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Last Update Date | 01/28/2024
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Provider Practice Location Address
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Address Line | 10770 ELIZABETH LAKE RD
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City | WHITE LAKE
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State | MI
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Zip | 48386-2136
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Country | US
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Telephone | 248-618-4100
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Fax |
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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 | 734-542-8300
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Fax | 734-542-8384
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Authorized Official
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Title or Position | VICE PRESIDENT REIMBURSEMENT
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Name | PAMELA SUE LATOVICK
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Credential |
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Telephone | 734-343-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 634010
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License Number State | MI
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