| Centria Healthcare | |
|
7893 Harding St Taylor MI 48180-2535 | |
| (313) 316-0923 | |
| Not Available |
| Full Name | Centria Healthcare |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 7893 Harding St, Taylor, Michigan |
| Authorized Official Name and Position | Marianne Denise Roden (COTA/L) |
| Authorized Official Contact | 3133160923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centria Healthcare 7893 Harding St Taylor MI 48180-2535 Ph: (313) 316-0923 | Centria Healthcare 7893 Harding St Taylor MI 48180-2535 Ph: (313) 316-0923 |
| NPI Number | 1649677873 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649677873 | NPI | - | NPPES |
| 5202001741 | Other | MI | ALL OTHER INSURANCE COMPANY |
| 5202001741 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5202001741 (Michigan) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 5202001741 (Michigan) | Primary |
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