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Organization
TRINITY CONTINUING CARE SERVICES
Active
Organization
TRINITY CONTINUING CARE SERVICES
Active
Other names
Fraser Villa, Sanctuary at Fraser
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE LATOVICK (VICE PRESIDENT REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 293-3300
(586) 293-6949
Mailing address
PO BOX 9184, FARMINGTON HILLS, MI 48333-9184
(734) 542-8300
(735) 542-8384
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
504013
MI
314000000X
Skilled Nursing Facility
Primary
504013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09961
BCBSM
MI
05
—
60-2627365
—
MI
Enumeration date
10/03/2006
Last updated
09/11/2022
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