Organization
TRINITY CONTINUING CARE SERVICES
Active
Other names
Marycrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA SUE LATOVICK (VP REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
15475 MIDDLEBELT RD, LIVONIA, MI 48154-3805
(734) 542-6360
(734) 427-5044
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-6628
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
824220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0850073000-8
MESC
—
05
—
2083002
—
MI
01
—
824220
MDCIS/BHS
MI
Enumeration date
08/02/2005
Last updated
09/19/2023
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