# CENTRIA HOME REHABILITATION

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

## Provider details

- **NPI number:** 1124300199
- **Authorized official:** CHRISTOPHER WILCOX (MANAGER)
- **Authorized official phone:** (248) 299-0030

## Contact information

- **Practice address:** 41521 W 11 MILE RD, NOVI, MI 48375-1803
- **Practice address phone:** (248) 299-0030
- **Practice address fax:** (248) 912-1566
- **Mailing address:** 41521 W 11 MILE RD, NOVI, MI 48375-1803
- **Mailing address phone:** (248) 299-0030
- **Mailing address fax:** (248) 912-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 10/23/2014
