Organization
CENTRIA HEALTHCARE LLC
Active
Other names
Centria Healthcare - Southgate Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WILCOX (PRESIDENT)
(248) 299-0030
Entity
Organization
Contact information
Practice address
13101 ALLEN RD, BUILDING #5, SOUTHGATE, MI 48195-2216
(248) 299-0030
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
12/09/2014
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