Organization
CENTENNIAL GROUP LLC
Active
Organization
CENTENNIAL GROUP LLC
Active
Other names
Centennial Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CANLAS ANTOLIN (MANAGER)
(213) 590-4690
Entity
Organization
Contact information
Practice address
4535 W SAHARA AVE, SUITE 108, LAS VEGAS, NV 89102-3625
(702) 527-5553
Mailing address
8589 SILVER COAST ST, LAS VEGAS, NV 89139-6799
(323) 423-9950
(702) 965-2987
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
8419HPC-0
NV
Other
Enumeration date
02/13/2016
Last updated
11/10/2021
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