Provider Demographics
NPI:1619466968
Name:TRINITY CONTINUING CARE SERVICES
Entity Type:Organization
Organization Name:TRINITY CONTINUING CARE SERVICES
Other - Org Name:HURON WOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LATOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-343-6628
Mailing Address - Street 1:5361 MCAULEY DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1011
Mailing Address - Country:US
Mailing Address - Phone:734-712-2989
Mailing Address - Fax:
Practice Address - Street 1:5361 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1011
Practice Address - Country:US
Practice Address - Phone:734-712-2989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility