# CENTENNIAL X LLC

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

## Provider details

- **NPI number:** 1144114398
- **Authorized official:** PROF. MACEO COLEMAN (CEO)
- **Authorized official phone:** (947) 282-7060

## Contact information

- **Practice address:** 22000 W 11 MILE RD \# 634, SOUTHFIELD, MI 48034
- **Practice address phone:** (947) 282-7060
- **Practice address fax:** (248) 986-2576
- **Mailing address:** 22000 W 11 MILE RD \# 634, SOUTHFIELD, MI 48034
- **Mailing address phone:** (947) 282-7060
- **Mailing address fax:** (248) 986-2576

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/26/2025