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Organization

TRINITY CONTINUING CARE SERVICES INDIANA INC

Active
Other names
St Paul's Retirement Community
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE HARRIS (CEO)
(248) 305-7688
Entity
Organization

Contact information

Practice address
3602 S IRONWOOD DR, SOUTH BEND, IN 46614-2453
(219) 291-8205
(219) 291-0858
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)
Primary
05-001201-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100380860
IN
Enumeration date
10/25/2006
Last updated
07/24/2008
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