Organization
TRINITY CONTINUING CARE SERVICES
Active
Other names
fraser villa
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HARRIS (CEO)
(248) 305-7688
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
(248) 305-7919
(248) 305-7677
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
504013
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-3174676
—
MI
Enumeration date
10/25/2006
Last updated
09/11/2025
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