Organization
TRINITY CONTINUING CARE SERVICES
Active
Other names
Sanctuary at St Marys
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M. KASTNER (CEO)
(734) 343-6644
Entity
Organization
Contact information
Practice address
1050 4 MILE RD NW, GRAND RAPIDS, MI 49544-1505
(616) 784-0646
(616) 784-4552
Mailing address
PO BOX 9184, FARMINGTON HILLS, MI 48333-9184
(734) 542-8300
(734) 542-8384
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09679
BCBSM
MI
05
—
60-2649184
—
MI
Enumeration date
10/06/2006
Last updated
02/19/2019
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