NPI 1093112070
Centria Healthcare LLC
Practice location
- Address
- 13101 Allen Rd Building #5, Southgate, MI 48195-2216
- Phone
- (248) 299-0030
- Mailing address
- 41521 W 11 Mile Rd, Novi, MI 48375-1803
Authorised official
- Name
- Christopher Wilcox
- Title
- President
- Phone
- (248) 299-0030
Registered specialties
Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1093112070
- Entity type
- Organization
- NPI issued
- 19 Nov 2014
- Record last updated
- 9 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.