# CENTRIA

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

## Provider details

- **NPI number:** 1760390009
- **Authorized official:** MS. KIAH FARLEY LPN NURSE (LPN NURSE)
- **Authorized official phone:** (313) 753-6385

## Contact information

- **Practice address:** 4130 ALTER RD, DETROIT, MI 48215-2349
- **Practice address phone:** (313) 753-6385
- **Mailing address:** 4130 ALTER RD, DETROIT, MI 48215-2349
- **Mailing address phone:** (313) 753-6385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2026
- **Last updated:** 08/28/2026