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General NPI Number Information
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NPI Number | 1356864474
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Entity Type | Organization
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Legal Business Name | TRILOGY HEALTHCARE OF KENT LLC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2280 BYRON VIEW DR SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-7817
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Country | US
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Telephone | 616-949-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 2280 BYRON VIEW DR SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-7817
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Country | US
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Telephone | 616-949-7310
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Fax |
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Authorized Official
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Title or Position | EVP & CLO
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Name | CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-213-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 414370
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License Number State | MI
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