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NPI Code Detail

MEDICARE: TRINITY CONTINUING CARE SERVICES

MEDICARE: TRINITY CONTINUING CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility504010MI

General Provider Information

NPI Number : 1457433310
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY CONTINUING CARE SERVICES
Provider Business Mailing Address
First Line : PO BOX 9184
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48333-9184
Country : US
Telephone Number : 248-305-7919
Fax Number : 248-305-7677
Provider Business Practice Location Address
First Line : 12250 E 12 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48093-3516
Country : US
Telephone Number : 586-751-6200
Fax Number : 586-751-2234
Authorized Official
Title or Position : CEO
Name : JACKIE HARRIS
Credential :
Telephone Number : 248-305-7688
Provider Enumeration Date : 10/19/2006
Last Update Date : 08/22/2020

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Directions to “TRINITY CONTINUING CARE SERVICES ” Practice Location

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