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Organization

CENTRIA HOME REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER WILCOX (MANAGER)
(248) 299-0030
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
09/15/2011
Last updated
10/23/2014
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