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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
1332BN1400XNursing Facility Supplies (DME)05-001201IN

General Provider Information

NPI Number : 1689758575
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 : 17475 DUGDALE DR
Second Line :
City : SOUTH BEND
State : IN
Zip : 46635-1545
Country : US
Telephone Number : 219-291-3990
Fax Number : 219-271-3981
Authorized Official
Title or Position : CEO
Name : JACKIE HARRIS
Credential :
Telephone Number : 248-305-7688
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/22/2020

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Directions to “TRINITY CONTINUING CARE SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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