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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