Provider Demographics
NPI:1083047328
Name:TRINITY CONITNUING CARE SERVICES
Entity Type:Organization
Organization Name:TRINITY CONITNUING CARE SERVICES
Other - Org Name:SANCTUARY AT WOODLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-542-8348
Mailing Address - Street 1:7533 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7382
Mailing Address - Country:US
Mailing Address - Phone:810-844-7477
Mailing Address - Fax:810-844-7444
Practice Address - Street 1:7533 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7382
Practice Address - Country:US
Practice Address - Phone:810-844-7477
Practice Address - Fax:810-844-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility