Organization
CENTRO EDEN HEALTH CARE, INC.
Active
Parent organization
CENTRO LAS AMERICAS
Other names
Centro Eden Health Care, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO LAS AMERICAS
Authorized official
LISA M. PREMO (BILLING MANAGER)
(508) 798-1900
Entity
Organization
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(085) 798-1900
(508) 798-1914
Mailing address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(085) 798-1900
(508) 798-1914
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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