Organization
CENTRA PACE- GRETNA
Active
Parent organization
CENTA HEALTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTA HEALTH, INC
Authorized official
GEORGE C GRAHAM MBA (EXECUTIVE DIRECTOR)
(434) 200-7000
Entity
Organization
Contact information
Practice address
1220 W GRETNA RD, GRETNA, VA 24557-4087
(434) 200-7000
Mailing address
PO BOX 498, GRETNA, VA 24557-0498
(434) 200-7000
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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