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Organization
CENTRIA HEALTHCARE LLC
Active
Organization
CENTRIA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CORLEY (DIRECTOR OF CONTRACT ADMINISTRATION)
(248) 919-1156
Entity
Organization
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
01/07/2010
Last updated
09/17/2024
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