# CENTRIA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053641498
- **Authorized official:** DANIEL CORLEY (DIRECTOR OF CONTRACT ADMINISTRATION)
- **Authorized official phone:** (248) 919-1156

## Contact information

- **Practice address:** 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
- **Practice address phone:** (248) 299-0030
- **Mailing address:** 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
- **Mailing address phone:** (248) 299-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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